Doctor Name: | DR. OSWALD V MOWATT |
NPI Number: | 1336202779 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2011 East 75th St Chicago, IL - 60649 |
Business Phone Number: | 7739557500 |
Business Fax Number: | |
Mailing Address: | Post Office Bx 498297, CHICAGO |
State: | IL |
Postal Code: | 606498297 |
Phone Number: | 7739557500 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |