Moskovic, Jacob L
Moskovic, Jacob L is an sole proprietor health care provider with primary practice located at 121 S Wilke Rd Ste 226 , Arlington Heights IL 60005-1530. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Moskovic, Jacob L can be contacted via phone (847) 590-0050.Contact Information
Primary practice address
121 S Wilke Rd Ste 226
Arlington Heights IL 60005-1530
Phone: (847) 590-0050
Fax: (847) 590-0080
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 036-040989 | Illinois |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 036-040989 | Illinois |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-040989 | Illinois |
Profile Details
NPI number | 1205863792 |
---|---|
LBN Legal business name | Moskovic, Jacob L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2006 |
Last updated | Jan 29th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205863792 | NPPES |
Illinois | MEDICAID | 36040989 |
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