| Doctor J M Moradia Md Sc | |
|
1600 Dempster St Suite 207 Park Ridge IL 60068 | |
| (847) 803-9393 | |
| (847) 803-1358 |
| Full Name | Doctor J M Moradia Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Jadav M Moradia (PRESIDENT) |
| Authorized Official Contact | 8478039393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor J M Moradia Md Sc 1600 Dempster St Suite 207 Park Ridge IL 60068 Ph: (847) 803-9393 | Doctor J M Moradia Md Sc 1600 Dempster St Suite 207 Park Ridge IL 60068 Ph: (847) 803-9393 |
| NPI Number | 1699708495 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699708495 | NPI | - | NPPES |
| 01627439 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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