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Gregory T Moskop, MD
Family Medicine Physician in Peoria, Illinois
NPI 1033161054

Gregory T Moskop is a Family Medicine Physician based in Peoria, IL. Gregory T Moskop practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Gregory T Moskop is 1033161054 and holds a License No. 036074680 (Illinois).

The current practice location address for Gregory T Moskop is 5111 N Glen Park Place Rd, Peoria, IL and can be reached out via phone at 309-683-5700 and via fax at 309-683-5752.

Location: 5111 N Glen Park Place Rd, Peoria, IL, 61614-4675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033161054
Provider Name
Gregory T Moskop
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5111 N Glen Park Place Rd, Peoria, IL, 61614-4675
Phone Number
309-683-5700
Fax Number
309-683-5752
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015685 01 IL BLUE CROSS BLUE SHIELD
080167492 01 IL RAIL ROAD MEDICARE PIN
809840 01 IL MEDICARE GROUP #
036074680 05 IL
institution
Provider Business Practice Location Address Details
Address
5111 N Glen Park Place Rd
City
Peoria
State
Illinois
Zip
61614-4675
Phone Number
309-683-5700
Fax Number
309-683-5752
person
Provider Business Mailing Address Details
Address
5111 N Glen Park Place Rd
City
Peoria
State
Illinois
Zip
61614-4675
Phone Number
309-683-5700
Fax Number
309-683-5752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036074680 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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