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MAAMOUN A JUNIDI, MD – NPI #1366488660
General Practice

NPI Profile for MAAMOUN A JUNIDI in CENTRALIA, IL.

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Contact Information

MAAMOUN A JUNIDI, MD
803 E BROADWAY
CENTRALIA, IL  62801
 Phone: 618-532-4511
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

General Practice

 208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MAAMOUN A JUNIDI · (Male)

NPI Number 1366488660
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036047930
  • IL Medicaid 036047930
Hospital affiliation(s)
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
  • ST MARYS HOSPITAL - (Acute Care)
    400 NORTH PLEASANT AVENUE
    CENTRALIA, IL 62801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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