Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 036.052424 | IL |
N | 208200000X | Surgeon | 036.052424 | IL |
N | 208600000X | Surgeon | 036.052424 | IL |
NPI | 1164749289 |
---|---|
Provider Name | Dr. Martin F. Mozes |
First Address | Chicago, IL 60657-4810 |
Second Address | Chicago, IL 60657-4810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2010 |
Last Update Date | 28/04/2010 |