Individual
MARYAM MOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 655-2702
Mailing address
530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036176646
IL
Other
Enumeration date
06/22/2021
Last updated
09/08/2025
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