| Zohra F Moeenuddin, MD | |
|
320 E Armstrong Ave, Peoria, IL 61603-3172 | |
| (309) 624-9690 | |
| (309) 624-9714 |
| Full Name | Zohra F Moeenuddin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 320 E Armstrong Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922043223 | NPI | - | NPPES |
| 809840 | Other | IL | MEDICARE GROUP PTAN |
| 01061030B | Other | IN | CSR |
| 200533760 | Medicaid | IN | |
| 036113542 | Medicaid | IL | |
| 11520388 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01061030A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Zohra F Moeenuddin, MD 320 E Armstrong Ave, Peoria, IL 61603-3172 Ph: (309) 680-7600 | Zohra F Moeenuddin, MD 320 E Armstrong Ave, Peoria, IL 61603-3172 Ph: (309) 624-9690 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 | |
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000 |