Mouzon, Gloria J

Mouzon, Gloria J is an individual health care provider with primary practice located at 140 N Ashland Ave , Chicago IL 60607-1802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Mouzon, Gloria J can be contacted via phone (312) 850-0050.

Contact Information

Primary practice address
140 N Ashland Ave Chicago IL 60607-1802
Phone: (312) 850-0050
Fax: (708) 524-8317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X Illinois

Profile Details

NPI number 1205979028
LBN Legal business name Mouzon, Gloria J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - 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.

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