Individual
MONTHER F EL BZOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E 1ST ST, STE 214, DIXON, IL 61021
(815) 285-5678
(815) 285-5898
Mailing address
215 E 1ST ST, STE 214, DIXON, IL 61021-3166
(815) 285-5853
(815) 285-5573
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-104657
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104657
—
IL
01
—
K15959
MEDICARE
IL
Enumeration date
01/27/2006
Last updated
12/11/2024
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