Individual provider · Type 1 NPI

Maryam Moin, MD

Neurology Physician · Peoria, IL

NPI number 1700455078 Active

Practice location

530 NE Glen Oak Avenue
Peoria, IL 61637-0001

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X036176646 (IL)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1700455078

Maryam Moin, MD's National Provider Identifier is 1700455078, issued on Jun 22, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Peoria, IL. The record was last updated on Sep 8, 2025.