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1568447795
KAMAL MODIR
ROCKFORD, IL
NPI
1568447795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036041279)
Enumeration Date
2005-12-09
Last Update Date
2007-09-10
Business Address
Dr. KAMAL MODIR MD
1601 PARKVIEW AVE UNIVERSITY PSYCHIATRIC SERVICES
ROCKFORD, IL 61107-1822
Phone number: 815-395-5870
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Mailing Address
Dr. KAMAL MODIR MD
1601 PARKVIEW AVE CREDENTIALING S200
ROCKFORD, IL 61107-1822
Phone number: 815-395-5851
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