Organization
CARL K. MOSHOVITIS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL K MOSHOVITIS MD (PRESIDENT)
(847) 708-4846
Entity
Organization
Contact information
Practice address
7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
(847) 864-6666
(847) 864-0088
Mailing address
PO BOX 2876, GLENVIEW, IL 60025-6876
(847) 864-6666
(847) 864-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036077963
IL
207RC0000X
Cardiovascular Disease Physician
036077963
IL
207RI0011X
Interventional Cardiology Physician
Primary
036077963
IL
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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