Individual
AKIL MOINUDDIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
302 E NEW YORK ST, AURORA, IL 60505-3424
(630) 844-0080
(630) 801-6967
Mailing address
302 E NEW YORK ST, AURORA, IL 60505-3424
(630) 844-0080
(630) 801-6967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086879
—
IL
01
—
10592526
CAQH
IL
01
—
110075398
RAILROAD MEDICARE
IL
01
—
14D0940581
CLIA
IL
Enumeration date
07/07/2006
Last updated
03/07/2023
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