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NPI Code Detail

MEDICARE: DR. MOEED EKBAL DPM

MEDICARE:  DR. MOEED  EKBAL  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist016004994IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932285509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOEED EKBAL DPM
Provider Business Mailing Address
First Line : 2400 N LAKEVIEW AVE APT 2703
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2741
Country : US
Telephone Number : 773-383-8173
Fax Number :
Provider Business Practice Location Address
First Line : 2400 N LAKEVIEW AVE APT 2703
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2741
Country : US
Telephone Number : 773-383-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/22/2014

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Directions to “ DR. MOEED EKBAL DPM” Practice Location

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