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NPI Code Detail

MEDICARE: DR. NOORANI NOORANI MD

MEDICARE: DR. NOORANI NOORANI MD
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
12084P0800XPsychiatry Physician036084818IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1089228OTHERILMHN TRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861522211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOORANI NOORANI MD
Provider Business Mailing Address
First Line : 2516 ANNE LN
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-6967
Country : US
Telephone Number : 847-933-0051
Fax Number : 847-933-0057
Provider Business Practice Location Address
First Line : 1135 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4118
Country : US
Telephone Number : 847-933-0051
Fax Number : 847-933-0057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/10/2025

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