Gregory T Moskop in Peoria - Family Medicine
Gregory T Moskop - NPI 1033161054
Gregory T Moskop is a Family Medicine in Peoria, Illinois. Gregory T Moskop practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory T Moskop is 1033161054. The last update date is 2008-04-28.
Gregory T Moskop's current location address is 5111 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096835700 and fax number 3096835752. The mailing address for Gregory T Moskop is 5111 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory T Moskop |
|---|---|
| Address | 5111 N Glen Park Place Rd, Peoria, Illinois |
| Phone Number | 3096835700 |
| Fax Number | 3096835752 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033161054 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 5111 N Glen Park Place Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144675 |
| Phone Number | 3096835700 |
| Fax Number | 3096835752 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36074680 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015685 | IL | BLUE CROSS BLUE SHIELD | |
| 80167492 | IL | RAIL ROAD MEDICARE PIN | |
| 809840 | IL | MEDICARE GROUP # | |
| 36074680 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory T Moskop by the Centers for Medicare & Medicaid Services?
The Gregory T Moskop has been assigned the NPI (National Provider Identifier) 1033161054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory T Moskop is physically located?
The Gregory T Moskop is physically situated at the following address: 5111 N Glen Park Place Rd, Peoria, IL, 616144675.
What is Gregory T Moskop's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory T Moskop's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1033161054 assigned to Gregory T Moskop?
The Gregory T Moskop was issued its 1033161054 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gregory T Moskop's details last updated?
The information pertaining to the Gregory T Moskop, including its address, specialty, and other details, was most recently updated on 2008-04-28.
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