Individual
DR. KIUMARS MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4700
Mailing address
860 W BLACKHAWK ST, UNIT 1707, CHICAGO, IL 60642-2510
(312) 933-4080
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036.121198
IL
Other
Enumeration date
07/09/2008
Last updated
04/22/2017
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