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Individual

DR. SARKIS GIBRAN MORALES VIDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036123939
IL
2084N0400X
Neurology Physician
ME125857
FL
2084V0102X
Vascular Neurology Physician
036.123939
IL
2084V0102X
Vascular Neurology Physician
ME125857
FL

Other

Enumeration date
03/20/2010
Last updated
05/21/2021
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