MEDICARE: PHILIP PAUL MOSCATEL D.C.

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
1	111N00000X	Chiropractor	038-006956	IL

General Provider Information

NPI Number	:	1972582898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP PAUL MOSCATEL D.C.

Provider Business Mailing Address
First Line	:	800 ROOSEVELT RD STE A14
Second Line	:
City	:	GLEN ELLYN
State	:	IL
Zip	:	60137-5800
Country	:	US
Telephone Number	:	630-469-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ROOSEVELT RD STE A14
Second Line	:
City	:	GLEN ELLYN
State	:	IL
Zip	:	60137-5800
Country	:	US
Telephone Number	:	630-469-4422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	04/17/2026

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