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

Munira Moukaddem

Individual provider Optometrist · NPI 1407631708

Munira Moukaddem is an Optometry in Oak Lawn, Illinois. Graduated from Illinois College of Optometry at Chicago in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

9531 S Cicero Ave
Oak Lawn, IL 60453-3136
Phone: (708) 423-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.011787 (IL)

Record details

NPI number1407631708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 26, 2023
Mailing address9236 S Thomas Ave, Bridgeview, IL 60455-2162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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