Individual
DR. MOEED EKBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2400 N LAKEVIEW AVE APT 2703, CHICAGO, IL 60614-2741
(773) 383-8173
Mailing address
2400 N LAKEVIEW AVE APT 2703, CHICAGO, IL 60614-2741
(773) 383-8173
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016004994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004994
—
IL
Enumeration date
10/27/2006
Last updated
07/22/2014
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