Individual
JOSEPHINE H MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1009 IL ROUTE 22, SUITE 2, FOX RIVER GROVE, IL 60021-1998
(847) 842-9366
(847) 842-9467
Mailing address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 298-7024
(847) 298-7155
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036106515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106515
—
IL
Enumeration date
09/20/2005
Last updated
12/30/2012
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