Mosquera, Gustavo
Mosquera, Gustavo is an individual health care provider with primary practice located at 101 E Plummer Blvd , Chatham IL 62629-8047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mosquera, Gustavo can be contacted via phone (217) 483-3487.Contact Information
Primary practice address
101 E Plummer Blvd
Chatham IL 62629-8047
Phone: (217) 483-3487
Fax: (217) 483-8151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036086050 | Illinois |
Profile Details
| NPI number | 1033395629 |
|---|---|
| LBN Legal business name | Mosquera, Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Feb 25th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033395629 | NPPES |
| Illinois | MEDICAID | 036086050 |
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