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NPI Code Detail

MEDICARE: DR. MOURICE S NEMRI M.D.

MEDICARE:  DR. MOURICE S NEMRI  M.D.
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
1208000000XPediatrics Physician036065703IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131600943OTHERILBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598825366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOURICE S NEMRI M.D.
Provider Business Mailing Address
First Line : 100 BATSON CT
Second Line : SUITE 106
City : NEW LENOX
State : IL
Zip : 60451-1564
Country : US
Telephone Number : 815-463-9747
Fax Number : 815-463-9749
Provider Business Practice Location Address
First Line : 100 BATSON CT
Second Line : SUITE 106
City : NEW LENOX
State : IL
Zip : 60451-1564
Country : US
Telephone Number : 815-463-9747
Fax Number : 815-463-9749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 12/08/2021

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Directions to “ DR. MOURICE S NEMRI M.D.” Practice Location

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