FARNAZ NANI MOAZZAM

PEORIA, IL
NPI1487669735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL  036101798)
Enumeration Date2006-07-29
Last Update Date2017-02-06
Business Address
-- FARNAZ NANI MOAZZAM M.D.
1001 MAIN ST SUITE 300
PEORIA, IL 61606-1907
Phone number: 309-495-0200
Mailing Address
-- FARNAZ NANI MOAZZAM M.D.
600 S 13TH ST # I
PEKIN, IL 61554-4936
Phone number: 309-495-0200