Mo, Josephine H

Mo, Josephine H is an individual health care provider with primary practice located at 1009 Il Route 22 Suite 2, Fox River Grove IL 60021-1998. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Mo, Josephine H can be contacted via phone (847) 842-9366.

Contact Information

Primary practice address
1009 Il Route 22 Suite 2 Fox River Grove IL 60021-1998
Phone: (847) 842-9366
Fax: (847) 842-9467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036106515 Illinois

Profile Details

NPI number 1780670216
LBN Legal business name Mo, Josephine H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780670216 NPPES
Illinois MEDICAID 036106515

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