Individual
NASSIM MOKRAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1302 FRANKLIN AVE STE 3500, NORMAL, IL 61761-6522
(309) 268-6200
(309) 268-6224
Mailing address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(317) 730-3050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5340075193
IN
207RI0200X
Infectious Disease Physician
Primary
036.164345
IL
Other
Enumeration date
04/12/2018
Last updated
02/22/2024
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