Individual provider · Type 1 NPI
Gloria J. Mouzon, MD
Addiction Medicine (Family Medicine) Physician · Chicago, IL
NPI number
1205979028
Active
Practice location
140 N Ashland Ave
Chicago, IL 60607-1802
Fax (708) 524-8317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1205979028
Gloria J. Mouzon, MD's National Provider Identifier is 1205979028, issued on Feb 14, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.