Individual
JOSEPH MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.085231
IL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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