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NPI Code Detail

MEDICARE: DR. HOWARD MORITZ M.D.

MEDICARE: DR. HOWARD MORITZ 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
1207L00000XAnesthesiology Physician036066878IL

Other Identifiers

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

General Provider Information

NPI Number : 1245273994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD MORITZ M.D.
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : CHICAGO
State : IL
Zip : 60690-0443
Country : US
Telephone Number : 708-831-8282
Fax Number : 773-714-1229
Provider Business Practice Location Address
First Line : 8420 W BRYN MAWR AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3436
Country : US
Telephone Number : 708-831-8282
Fax Number : 773-714-1229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/14/2021

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Directions to “ DR. HOWARD MORITZ M.D.” Practice Location

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