Nutakor, Worlali Moses

Nutakor, Worlali Moses is an individual health care provider with primary practice located at 2310 E Mound Rd , Decatur IL 62526-9640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nutakor, Worlali Moses can be contacted via phone (217) 877-0353.

Contact Information

Primary practice address
2310 E Mound Rd Decatur IL 62526-9640
Phone: (217) 877-0353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036103408 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036103408 Illinois

Profile Details

NPI number 1104937960
LBN Legal business name Nutakor, Worlali Moses
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 4th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104937960 NPPES
Illinois MEDICAID 036103408-1

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