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Search › Illinois › 246ZC0007X

Otoniel Roberti Moccia

NPI 1396487864 · on the registry since 2022 · sole proprietor

Practice

Address
21341 Windy Hill Dr
Frankfort, IL 60423
Phone
(786) 622-6310
Organisation at this address
Surgiassist, Inc
Surgiassist, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois