Nassim Mokraoui, MD | |
1302 Franklin Ave Ste 3500, Normal, IL 61761-6522 | |
(309) 268-6200 | |
(309) 268-6224 |
Full Name | Nassim Mokraoui |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 1302 Franklin Ave Ste 3500, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932606274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5340075193 (Indiana) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 036.164345 (Illinois) | Primary |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Nassim Mokraoui, MD 1304 Franklin Ave, Normal, IL 61761-3558 Ph: (317) 730-3050 | Nassim Mokraoui, MD 1302 Franklin Ave Ste 3500, Normal, IL 61761-6522 Ph: (309) 268-6200 |
Dr. Ali Raza Ghani, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Beth L Tumilty, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Piotr Pawel Krolikowski, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
Mr. Thomas Deweert, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Dory C Jarzabkowski, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 |