Individual
JOSIA NARDA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-4111
Mailing address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036135188
IL
208M00000X
Hospitalist Physician
01075611A
IN
Other
Enumeration date
07/07/2011
Last updated
09/01/2022
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