Jacob L. Moskovic, M.D. S.C.

LBN: Jacob L. Moskovic, M.D. S.C.
Jacob L. Moskovic, M.D. S.C. is an health care organization with primary practice located at 120 W Eastman St Suite 202, Arlington Heights IL 60004-5937. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jacob L. Moskovic, M.D. S.C. can be contacted via phone (847) 590-0050, or through Moskovic, Jacob L via phone (847) 590-0050.

Contact Information

Primary practice address
120 W Eastman St Suite 202 Arlington Heights IL 60004-5937
Phone: (847) 590-0050
Fax: (847) 590-0080
Website:
Map and Directions
Authorized official contact:
Name: Moskovic, Jacob L Doctor of Medicine (MD)
Phone: (847) 590-0050

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 036040989 Illinois

Profile Details

NPI number 1144345471
LBN Legal business name Jacob L. Moskovic, M.D. S.C.
DBA Doing business as
Authorized official Moskovic, Jacob L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Oct 19th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144345471 NPPES
Illinois MEDICAID 36040989

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