Individual
MALEC A MOKRAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N. VERMILION AVENUE, MEDICAL SUB-SPECIALTIES, DANVILLE, IL 61832
(217) 554-1700
(217) 554-1704
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036103829
IL
Other
Enumeration date
08/13/2006
Last updated
05/07/2014
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