Al Zoubi, Moamen Mohammad
Al Zoubi, Moamen Mohammad is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Al Zoubi, Moamen Mohammad can be contacted via phone (815) 971-5000.Contact Information
Primary practice address
2400 N Rockton Ave
Rockford IL 61103-3655
Phone: (815) 971-5000
Fax: (815) 971-9537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD61658787 | Washington |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 70473 | Arizona |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | EMC0004430 | Michigan |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 70736 | Tennessee |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD-55680 | Iowa |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036148372 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 75867 | Minnesota |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 3120-320 | Wisconsin |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | CDR.0006028 | Colorado |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C1335 | Kentucky |
Profile Details
| NPI number | 1770902587 |
|---|---|
| LBN Legal business name | Al Zoubi, Moamen Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2014 |
| Last updated | Oct 29th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770902587 | NPPES |
| Illinois | Other | 036148372 | STATE LICENSE |
| Illinois | MEDICAID | 1770902587 | STATE LICENSE |
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