Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Siebert Moazzam P C

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1396780292

Siebert Moazzam P C is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

401 Main St Ste 1200
Peoria, IL 61602-1242
Phone: (309) 671-8749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 036101798 (IL)

Record details

NPI number1396780292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Siebert — Owner · (309) 353-1833
NPI enumeratedJune 17, 2006
Last updated in NPPESApril 12, 2011
Mailing address2205 State St, Pekin, IL 61554-3936

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