| Shakir Moiduddin | |
|
7530 W College Dr Suite C Palos Heights IL 60463-1196 | |
| (708) 361-0911 | |
| Not Available |
| Full Name | Shakir Moiduddin |
|---|---|
| Speciality | Family Medicine |
| Location | 7530 W College Dr, Palos Heights, Illinois |
| Authorized Official Name and Position | Shakir Moiduddin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7083610911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakir Moiduddin 7530 W College Dr Suite C Palos Heights IL 60463-1196 Ph: (708) 361-0911 | Shakir Moiduddin 7530 W College Dr Suite C Palos Heights IL 60463-1196 Ph: (708) 361-0911 |
| NPI Number | 1245428374 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245428374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036052775 (Illinois) | Primary |
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