DR. GLORIA J MOUZON (NPI# 1205979028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205979028 |
| Entity Type | Individual |
| Full Name | DR. GLORIA J MOUZON |
| Credential | M.D. |
| Practice Address |
140 N Ashland Ave Chicago IL 60607-1802 |
| Practice Telephone | 3128500050 |
| Practice Fax Number | 7085248317 |
| Mailing Telephone | 3128500050 |
| Mailing Fax Number | 7085248317 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
140 N ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003368 | Caritas | Substance Abuse Rehabilitation Facility | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-11-03 |
| 1356959340 | Pazlee Pegues | Social Worker | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-16 |
| 1992313944 | Latara L Sutton | Social Worker | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-15 |
| 1275150369 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1184241275 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1306463419 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1356968457 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1609493709 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1417574518 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1326665423 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538469739 | John Thomas Johns Jr. | Family Medicine | 210 N. Ashland, Chicago, IL 60607-1402 | 2010-10-22 |
| 1841251378 | Britt Michael Borden | Family Medicine | 180 N Stetson Ave, Chicago, IL 60601-6710 | 2006-04-02 |
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1558736512 | Hemlata P Vaidya | Family Medicine | 3520 S Ashland Ave, Chicago, IL 60609-1317 | 2015-12-02 |
| 1528384567 | Dr. J. Wesley Cook, D.o., LLC | Family Medicine | 2001 W Addison St, Chicago, IL 60618-6132 | 2010-04-15 |
| 1538379516 | Humberto Vergara Md & Associates Sc | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2007-05-22 |
| 1225092919 | Dora Dean Dixie | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2006-04-12 |
| 1124004262 | Humberto Vergara | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303320 | Brianne C Brown | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2017-05-11 |
| 1649553892 | Physicians Community Medical Center North, S.c. | Family Medicine | 5320 159th St # 2n, Oak Forest, IL 60452-4705 | 2011-09-23 |
| 1548447956 | Total Care Medical Clinic | Family Medicine | 6929 Ogden Ave, Berwyn, IL 60402-3649 | 2008-01-28 |
| 1760448674 | Richard J Ready | Family Medicine | 999 Oakmont Plaza Dr Ste 100, Westmont, IL 60559-1381 | 2006-04-21 |
| 1912519786 | Shark Addiction Treatment | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2020-08-21 |
| 1831748573 | Recoveruscenters-carbondale LLC | Family Medicine | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-05 |
| 1609303940 | Great Heights Medical Ltd. | Family Medicine | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2017-05-17 |
| 1396173134 | Complete Medical Care, S.c. | Family Medicine | 3315 Algonquin Rd, Suite 100, Rolling Meadows, IL 60008-3257 | 2013-10-14 |
| 1629238746 | Shalu P. Gugnani | Family Medicine | 901 W Kirchhoff Rd, Arlington Heights, IL 60005-2361 | 2008-06-12 |
| 1154539435 | Comprehensive Medical Management Services Ltd | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.