Individual
DR. ROBERT M JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3471 GREEN BAY RD, NORTH CHICAGO, IL 60064-3090
(937) 479-1793
(847) 775-6587
Mailing address
3471 GREEN BAY RD, NORTH CHICAGO, IL 60064-3090
(937) 479-1793
(847) 775-6587
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
003440
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000605109
BCBS-OH
OH
01
—
2684751
MEDICAID
OH
01
—
421534506011
TRICARE
OH
01
—
421534506145
CARESOURCE
OH
01
—
7195856
AETNA
OH
Enumeration date
07/10/2006
Last updated
01/07/2013
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