JAMES M MOSS MD
Allergy and Immunology
Elk Grove Village, Illinois
Provider NPI: 1194725291
Provider Information:JAMES M MOSS MD
Practice Location:
800 BIESTERFIELD RD SUITE 510 ELK GROVE VILLAGE, IL 60007 US
Tel: 847-981-3660 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | IL | 036-07059 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
036070259 | IL | 05 | |
BCBS OF IL | 1617373 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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