Individual
CARL K MOSHOVITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N. CALIFORNIA AVE., SUITE 780-GMP, CHICAGO, IL 60625
(773) 989-3957
(773) 989-3971
Mailing address
5140 N. CLAIFORNIA AVE., SUITE 780-GMP, CHICAGO, IL 60625-3657
(773) 989-3957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036077963
IL
207RI0011X
Interventional Cardiology Physician
Primary
036077963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077963
—
IL
Enumeration date
06/02/2006
Last updated
05/07/2021
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