JACOB L. MOSKOVIC M.D. S.C. NPI 1144345471

NPI Information

NPI: 1144345471
Provider Name: JACOB L. MOSKOVIC, M.D. S.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
120 W EASTMAN ST
SUITE 202
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (847) 590-0050
Get Directions

JACOB L. MOSKOVIC, M.D. S.C. is a mental health counselor in Arlington Heights, IL. JACOB L. MOSKOVIC, M.D. S.C. NPI is 1144345471. The provider is registered as an organization entity type and is a single specialty group.

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 provider's authorized official is Jacob L Moskovic .
The authorized official title is Owner and has the following contact phone number (847) 590-0050.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 10/19/2009.

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	101YM0800X	Counselor	Mental Health	036040989	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	36040989	MEDICAID	ILLINOIS
2	458920	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	C41372	MEDICARE UPIN	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »