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Individual

GREGORY T MOSKOP

Active
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Individual

GREGORY T MOSKOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036074680
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074680
—
IL
01
—
080167492
RAIL ROAD MEDICARE PIN
IL
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
01
—
809840
MEDICARE GROUP #
IL
Enumeration date
05/17/2006
Last updated
04/28/2008
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