Organization
JACOB L. MOSKOVIC, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB L MOSKOVIC MD (OWNER)
(847) 590-0050
Entity
Organization
Contact information
Practice address
120 W EASTMAN ST, SUITE 202, ARLINGTON HEIGHTS, IL 60004-5937
(847) 590-0050
(847) 590-0080
Mailing address
120 W EASTMAN ST, SUITE 202, ARLINGTON HEIGHTS, IL 60004-5937
(847) 590-0050
(847) 590-0080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
036040989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36040989
—
IL
Enumeration date
03/19/2007
Last updated
10/19/2009
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