Organization
MOSCOSO S.C.
Active
Other names
Sylvia Moscoso MD
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA MOSCOSO (PRESIDENT)
(773) 277-2087
Entity
Organization
Contact information
Practice address
3845 W 26TH ST, CHICAGO, IL 60623-3810
(773) 277-2087
(773) 277-9436
Mailing address
3845 W 26TH ST, CHICAGO, IL 60623-3810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036103740
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036103740
IL
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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