Individual
RIZWAN K MOINUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
675 W NORTH AVE STE 309, MELROSE PARK, IL 60160-1623
(312) 654-2744
(312) 651-4419
Mailing address
210 S DES PLAINES, CHICAGO, IL 60661-5500
(312) 654-2721
(866) 954-5804
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036114326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114326
—
IL
Enumeration date
07/12/2006
Last updated
06/05/2025
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