Dr. Irfan K Moinuddin
Nephrologist
442 N Il Route 31
Crystal Lake
, Illinois 60012-3709
Dr. Irfan K Moinuddin
Nephrologist
442 N Il Route 31
Crystal Lake
, Illinois 60012-3709
(815) 741-6832
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Irfan K Moinuddin
- Po Box 3877
- Joliet, IL
- Zip : 60434-3877
- Fax : (815) 741-6832
- Phone : (815) 741-6830
Second Address
- Dr. Irfan K Moinuddin
- 442 N Il Route 31
- Crystal Lake, IL
- Zip : 60012-3709
- Phone : (224) 238-3211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 036108979 | IL |
National Provider Identifier
| NPI | 1033163449 |
|---|---|
| Provider Name | Dr. Irfan K Moinuddin |
| First Address | Joliet, IL 60434-3877 |
| Second Address | Crystal Lake, IL 60012-3709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 23/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I03890 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.