Provider Demographics
NPI:1023120094
Name:MOSWIN, ARTHUR H (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:H
Last Name:MOSWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 N CLARK ST # 354
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5200
Mailing Address - Country:US
Mailing Address - Phone:312-791-3455
Mailing Address - Fax:312-791-4158
Practice Address - Street 1:500 E 51ST ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2400
Practice Address - Country:US
Practice Address - Phone:312-791-3455
Practice Address - Fax:312-791-4158
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036074247207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001616367OtherBLUE CROSS BLUE SHIELD
0005485045OtherAETNA
362664182OtherHUMANA
110187921OtherRR MEDICARE
362664182OtherCIGNA
362664182OtherUNITED HEALTHCARE
IL036074247Medicaid
110187921OtherRR MEDICARE
E24377Medicare UPIN