Individual
MAKRAM ABOU GHAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 222-7298
Mailing address
1505 N PEORIA AVE APT 301, PEORIA, IL 61603-3155
(309) 222-7298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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