Organization
PATHWAY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL S MOSTOW M.D. (OWNER)
(773) 561-5400
Entity
Organization
Contact information
Practice address
5544 N WESTERN AVE, CHICAGO, IL 60625-2217
(773) 561-5400
(773) 561-5402
Mailing address
5544 N WESTERN AVE, CHICAGO, IL 60625-2217
(773) 561-5400
(773) 561-5402
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036084695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084695
—
IL
Enumeration date
05/20/2009
Last updated
05/20/2009
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