Jacob L. Moskovic, M.D. S.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

036040989 Issued in IL

Legal business name

JACOB L. MOSKOVIC, M.D. S.C.

Practice address

120 W Eastman St
Suite 202
Arlington Heights, IL 60004-5937

Phone

(847) 590-0050

Fax

(847) 590-0080

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob L Moskovic, MD

Title

Owner

Phone

(847) 590-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1144345471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "address_2": "SUITE 202",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-590-0050",
            "fax_number": "847-590-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "address_2": "SUITE 202",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-590-0050",
            "fax_number": "847-590-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB L. MOSKOVIC, M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "MOSKOVIC",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-590-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "036040989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36040989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Umair Jabbar, M.D.
• Heather Jackman, M.A.
• Mariola Jackowski, M.D
• Jasmine Jackson
• Robert B Jackson
• Jisha M Jacob
• Halley Elyse Wilson Jacobs, LCPC
• Rachel Jacobs
• Allyson F Jacobson, MD
• Cameron Jacobson, PA-C

• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.