Mousselli, Robert

Mousselli, Robert is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Behavioral Health & Social Service Providers / Mental Health. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mousselli, Robert can be contacted via phone (773) 702-6927.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-6927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036.163144 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811309016
LBN Legal business name Mousselli, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Jul 9th, 2023 - about last year

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 1811309016 NPPES
California Other 44AV MEDI-CAL PRV NBR

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