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Individual

ADEL MOURADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 SILVER CROSS BLVD, SUITE 2125, NEW LENOX, IL 60451-9509
(815) 300-1100
(815) 300-4848
Mailing address
1042 MAPLE AVE STE 335, LISLE, IL 60532-2329
(815) 300-5376
(815) 300-4848

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059035A
IN
207R00000X
Internal Medicine Physician
Primary
036111174
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036111174
MEDICAL LICENSE
IL
05
204374
IL
Enumeration date
09/06/2006
Last updated
03/07/2023
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