George Gaw Moran is a Urology in Lagrange, Illinois. George Gaw Moran practices all healthcare services and medical treatments related to Urology. The NPI Number for George Gaw Moran is 1417960758. The last update date is 2011-05-09.
George Gaw Moran's current location address is 5201 S Willow Springs Rd, Lagrange, Illinois. You can contact this provider via phone number 7083542550 and fax number 7083544552. The mailing address for George Gaw Moran is 5201 S Willow Springs Rd, Lagrange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Gaw Moran |
|---|---|
| Address | 5201 S Willow Springs Rd, Lagrange, Illinois |
| Phone Number | 7083542550 |
| Fax Number | 7083544552 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417960758 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2011-05-09 |
Provider Mailing Address Detail
| Address | 5201 S Willow Springs Rd |
|---|---|
| City | Lagrange |
| State | Illinois (IL) |
| Post Code | 605256537 |
| Phone Number | 7083542550 |
| Fax Number | 7083544552 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 036-057691 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36057691 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to George Gaw Moran by the Centers for Medicare & Medicaid Services?
The George Gaw Moran has been assigned the NPI (National Provider Identifier) 1417960758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of George Gaw Moran?
The George Gaw Moran is situated at 5201 S Willow Springs Rd, in the city of Lagrange, state of IL, with the zip code 605256537.
What is George Gaw Moran's specialized field of practice, and what is the corresponding taxonomy classification code?
The George Gaw Moran's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date did the George Gaw Moran receive the assignment of its 1417960758 from the Centers for Medicare & Medicaid Services?
The George Gaw Moran was issued its 1417960758 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date was the information regarding George Gaw Moran, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George Gaw Moran, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-09.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA