Individual
NEDA MOADDELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3701 DOTY RD, WOODSTOCK, IL 60098-7509
(815) 334-3170
Mailing address
3095 HENRY LN, LAKE IN THE HILLS, IL 60156-6761
(224) 628-4744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.120655
IL
Other
Enumeration date
05/21/2008
Last updated
12/23/2014
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