Individual
SYLVIA MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Mailing address
2014 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2526
(630) 655-1014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-103740
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036-103740
IL
Other
Enumeration date
02/19/2006
Last updated
07/25/2022
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