Moskovic, Jacob L

Moskovic, Jacob L is an sole proprietor health care provider with primary practice located at 121 S Wilke Rd Ste 226 , Arlington Heights IL 60005-1530. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Moskovic, Jacob L can be contacted via phone (847) 590-0050.

Contact Information

Primary practice address
121 S Wilke Rd Ste 226 Arlington Heights IL 60005-1530
Phone: (847) 590-0050
Fax: (847) 590-0080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 036-040989 Illinois
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 036-040989 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-040989 Illinois

Profile Details

NPI number 1205863792
LBN Legal business name Moskovic, Jacob L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jan 29th, 2024 - about 2 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 1205863792 NPPES
Illinois MEDICAID 36040989

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