Moskop, Gregory T

Moskop, Gregory T is an individual health care provider with primary practice located at 5111 N Glen Park Place Rd , Peoria IL 61614-4675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moskop, Gregory T can be contacted via phone (309) 683-5700.

Contact Information

Primary practice address
5111 N Glen Park Place Rd Peoria IL 61614-4675
Phone: (309) 683-5700
Fax: (309) 683-5752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036074680 Illinois

Profile Details

NPI number 1033161054
LBN Legal business name Moskop, Gregory T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 28th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033161054 NPPES
Illinois Other 09015685 BLUE CROSS BLUE SHIELD
Illinois Other 080167492 BLUE CROSS BLUE SHIELD
Illinois Other 809840 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036074680 BLUE CROSS BLUE SHIELD

Popular Providers