Individual
DORI MOSCOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1931 N HALSTED ST, CHICAGO, IL 60614-5008
(312) 998-5510
Mailing address
181 W MADISON ST, STE 3825, CHICAGO, IL 60602-4500
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036147513
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
09/03/2019
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