Provider Demographics
NPI:1134481054
Name:ALMARDINI, NOUR (MD)
Entity Type:Individual
Prefix:
First Name:NOUR
Middle Name:
Last Name:ALMARDINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 N GLEN PARK PLACE RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4689
Mailing Address - Country:US
Mailing Address - Phone:309-674-7546
Mailing Address - Fax:309-282-2075
Practice Address - Street 1:QUEST DIAGNOSTICS
Practice Address - Street 2:506 E STATE PARKWAY
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173
Practice Address - Country:US
Practice Address - Phone:847-885-5220
Practice Address - Fax:309-282-2075
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036146069207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology