Individual provider · Type 1 NPI

Christine Moran, PA-C

Surgical Physician Assistant · Park Ridge, IL

NPI number 1760031462 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Call (847) 723-2210 Map

Mailing address

60 Fenwood Rd Dept Of
Boston, MA 02115-6128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA8327 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760031462

Christine Moran, PA-C's National Provider Identifier is 1760031462, issued on Sep 5, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park Ridge, IL. The record was last updated on Dec 7, 2021.