Individual
JAMES A JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0612
Mailing address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036102939
IL
207Q00000X
Family Medicine Physician
5101018552
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102939
—
IL
Enumeration date
05/26/2006
Last updated
08/24/2020
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