Sotiria E. Moschovis, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

36-046250 Issued in IL

Practice address

6127 N. Leader Ave.
Chicago, IL 60646

Phone

(773) 792-8761

NPI assigned

Jul 13, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1942598891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 N. LEADER AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464805",
            "telephone_number": "773-792-8761",
            "fax_number": "773-792-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 N. LEADER AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-792-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHOVIS",
        "first_name": "SOTIRIA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "IL",
            "license": "36-046250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mosaic Childhood Project, Inc.
• Mosaic Leaf Therapy and Wellness, LLC
• Kendall R Mosby-Thompson
• Maria Caroline Moscati Weiss
• Molly Sandeep Moschovas, DC
• Moscoso S.C.
• Sylvia Moscoso, M.D.
• Andrea Moscowitz
• Arielle Moscowitz
• Dori Moscowitz, D.O.

• Developmental - Behavioral Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental - Behavioral Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.