Individual
POORIA JAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 FORT JESSE RD, STE 280, NORMAL, IL 61761-6286
(309) 452-1788
(309) 862-1302
Mailing address
2200 FORT JESSE RD, STE 280, NORMAL, IL 61761-6286
(309) 452-1788
(309) 862-1302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.125697
OH
2085R0202X
Diagnostic Radiology Physician
Primary
36.141476
IL
Other
Enumeration date
03/27/2009
Last updated
02/02/2017
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