Individual
DR. BLAKE THOMAS MOSKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST STE 1128M, OAK LAWN, IL 60453-2600
(312) 609-0300
(708) 684-3070
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036166615
IL
Other
Enumeration date
04/05/2021
Last updated
08/23/2024
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