Individual
SHAHRAM MAROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1212
(217) 366-5227
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1212
(217) 366-5227
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036146787
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2015
Last updated
02/07/2025
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