Individual
MRS. JEANNIE MOSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 271-5596
(773) 271-7842
Mailing address
5131 N LINCOLN AVE, P.O. BOX 257353, CHICAGO, IL 60625-2585
(773) 271-5596
(773) 271-7842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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