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DR. JACOB L MOSKOVIC M.D. NPI 1205863792

NPI Profile

NPI: 1205863792

Provider Name: DR. JACOB L MOSKOVIC, M.D.

Classification: Psychiatry & Neurology - 2084P0802X

Entity Type: Individual

Specialization: Addiction Psychiatry

Organization: JACOB L. MOSKOVIC, M.D. S.C.

PECOS Registration: Yes

Address:
120 W EASTMAN ST
SUITE 202
ARLINGTON HEIGHTS, IL
ZIP 60004

Phone: (847) 590-0050

DR. Jacob L Moskovic, M.D. is an addiction psychiatrist in Arlington Heights, IL with 53 years of experience. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Jacob L Moskovic, M.D. NPI is 1205863792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 W EASTMAN ST
SUITE 202
ARLINGTON HEIGHTS, IL
ZIP 60004-937
Phone: (847) 590-0050
Fax: (847) 590-0080

The NPI 1205863792 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 12/6/2010.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084P0802X Psychiatry & Neurology Addiction Psychiatry 036-040989 ILLINOIS No
2 2084P0805X Psychiatry & Neurology Geriatric Psychiatry 036-040989 ILLINOIS No
3 2084P0800X Psychiatry & Neurology Psychiatry 036-040989 ILLINOIS Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015