Individual
HASSAN A MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SPALDING DR, SUITE 407, NAPERVILLE, IL 60540-6508
(630) 357-4260
(630) 357-4298
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036057766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057766
—
IL
Enumeration date
09/14/2006
Last updated
07/16/2008
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