Individual
JOSEPH R. MISULONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
Mailing address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-039467
IL
207V00000X
Obstetrics & Gynecology Physician
036039467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039467
—
IL
Enumeration date
08/30/2006
Last updated
12/05/2008
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