Jeffrey Allen Mozwecz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

6400 W College Dr
Suite 600
Palos Heights, IL 60463-1785

Phone

(708) 389-3224

Fax

(708) 389-3587

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073655056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 600",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-389-3224",
            "fax_number": "708-389-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 600",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-389-3224",
            "fax_number": "708-389-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZWECZ",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Morales
• Phillip F Morreale, DPM
• Margaret Ann Moss I, LCSW
• Kimberly Ann Moyer, LCPC
• Nicole Kelly Mozden, M.D.
• Mso Illinois LLC
• Dana Karen Mueller
• Jeffrey Scott Mulac, D.D.S.
• Donna Mulchrone
• Shelley Mulchrone, MRS.

• Internal Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.