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1487669735
FARNAZ NANI MOAZZAM
PEORIA, IL
NPI
1487669735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL 036101798)
Enumeration Date
2006-07-29
Last Update Date
2017-02-06
Business Address
-- FARNAZ NANI MOAZZAM M.D.
1001 MAIN ST SUITE 300
PEORIA, IL 61606-1907
Phone number: 309-495-0200
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Mailing Address
-- FARNAZ NANI MOAZZAM M.D.
600 S 13TH ST # I
PEKIN, IL 61554-4936
Phone number: 309-495-0200
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