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GREGORY T MOSKOP MD
NPI 1033161054
Family Medicine in Peoria, IL

Active since May 17, 2006
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 683-5700(309) 683-5752 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory T Moskop Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY T MOSKOP MD (NPI 1033161054) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036074680) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033161054
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY T MOSKOPCredential: MD
Location Address5111 N GLEN PARK PLACE RDPeoria, IL 61614-4675
Mailing Address5111 N Glen Park Place RdPeoria, IL 61614-4675 · (309) 683-5700 · Fax (309) 683-5752
Phone(309) 683-5700
Fax(309) 683-5752
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 28, 2008
✔ NPI 1033161054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036074680
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5111 N GLEN PARK PLACE RD, Peoria, IL 61614
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Other Identifiers 7

Medicare PIN592260IL
Other080167492IL · Rail Road Medicare Pin
Medicare PINR00608IL
Medicare UPINC51146
Other09015685IL · Blue Cross Blue Shield
Other809840IL · Medicare Group #
Medicaid036074680IL

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN CADET-SAINTILUS M.D.
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
NATALIE PATTY
Physician Assistant
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
JENNIFER L MILLS APN
Nurse Practitioner
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
MISS KIMBERLEY B HERZOG LISW-S
Social Worker (Clinical)
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
TIERRA LEE WEGLARZ DO
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
GREGORY CLEMENTZ
Family Medicine
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
LINDSEY HABECKER
Nurse Practitioner (Family)
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700
TAYLOR L. PERRY APN
Nurse Practitioner
5111 N GLEN PARK PLACE RD
PEORIA, IL 61614
Peoria County (309) 683-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Moskop's NPI number?

The NPI number for Gregory Moskop is 1033161054. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Gregory Moskop located?

Gregory Moskop practices at 5111 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 683-5700.

What is Gregory Moskop's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Moskop was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.