# IYAD A JUNDI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518055144
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036090002 | IL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 019845 | HEALTH ALLIANCE MEDICAL | IL |
| 01 | — | 020029131 | RAILROAD MEDICARE | — |
| 05 | — | 036090002 | — | IL |
| 01 | — | 9815737 | BLUE CROSS BLUE SHIELD | IL |