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NPI Code Detail

MEDICARE: SYLVIA MOSCOSO M.D.

MEDICARE: SYLVIA MOSCOSO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036-103740IL
2207Q00000XFamily Medicine Physician036-103740IL

General Provider Information

NPI Number : 1689649105
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA MOSCOSO M.D.
Provider Business Mailing Address
First Line : 2014 MIDWEST CLUB PKWY
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2526
Country : US
Telephone Number : 630-655-1014
Fax Number :
Provider Business Practice Location Address
First Line : 966 W 21ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4511
Country : US
Telephone Number : 773-254-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2006
Last Update Date : 07/25/2022

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Directions to “ SYLVIA MOSCOSO M.D.” Practice Location

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