Individual
NOORI AL KADHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5306
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-10669
KS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.172165
IL
Other
Enumeration date
06/08/2021
Last updated
05/22/2026
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