Provider Demographics
NPI:1679896138
Name:AL MURADI, HAZEM (MD)
Entity type:Individual
Prefix:
First Name:HAZEM
Middle Name:
Last Name:AL MURADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:301 N MADISON ST
Mailing Address - Street 2:STE 275
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6549
Mailing Address - Country:US
Mailing Address - Phone:815-740-1900
Mailing Address - Fax:815-725-2413
Practice Address - Street 1:301 N MADISON ST
Practice Address - Street 2:STE 207
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6549
Practice Address - Country:US
Practice Address - Phone:815-740-1900
Practice Address - Fax:815-725-2413
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036117781207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease