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NPI Code Detail

MEDICARE: DR. SCOTT W MOX MD

MEDICARE: DR. SCOTT W MOX MD
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
1207X00000XOrthopaedic Surgery Physician036-070708IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3200042295OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20451517835OTHERILBCBS

General Provider Information

NPI Number : 1043210701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT W MOX MD
Provider Business Mailing Address
First Line : 1550 N RANDALL RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-7876
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Provider Business Practice Location Address
First Line : 1550 N RANDALL RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-7876
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/06/2024

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Directions to “ DR. SCOTT W MOX MD” Practice Location

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