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Dr. Muhanad Aldasoqi, DO

Student in an Organized Health Care Education/Training Program in Rockford, IL. Individual provider (NPI-1).

NPI number1750131744
StatusActive
Last updated in NPPESSep 12, 2024

Details

NPI
1750131744
Entity type
Individual (NPI-1)
Name
Dr. Muhanad Aldasoqi
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2024
Certification date
Sep 12, 2024
Last updated
Sep 12, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5970 Churchview Dr
Rockford, IL 61107-2574

Phone 815-971-8990 · Fax 815-971-9978

Mailing address

5970 Churchview Dr
Rockford, IL 61107-2574

Phone 815-971-8990

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Rockford, IL

All 101 Student in an Organized Health Care Education/Training Program providers in Rockford · All 5,035 providers in Rockford

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