Organization
DOCTOR J M MORADIA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADAV M MORADIA MD (PRESIDENT)
(847) 803-9393
Entity
Organization
Contact information
Practice address
1600 DEMPSTER ST, SUITE 207, PARK RIDGE, IL 60068
(847) 803-9393
(847) 803-1358
Mailing address
1600 DEMPSTER ST, SUITE 207, PARK RIDGE, IL 60068
(847) 803-9393
(847) 803-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627439
BCBS
IL
Enumeration date
07/08/2006
Last updated
08/22/2020
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