Organization
HASSAN MOGHADAM MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN A MOGHADAM MD (OWNER / MD)
(630) 357-4260
Entity
Organization
Contact information
Practice address
120 SPALDING DR, SUITE 407, NAPERVILLE, IL 60540-6508
(630) 357-4260
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036057766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002201310
BCBS OF IL
IL
05
—
036057766
—
IL
Enumeration date
09/16/2006
Last updated
07/16/2008
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