Individual
TIMMY STEVE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(630) 835-4780
Mailing address
106 CANTAL CT, WHEELING, IL 60090-6779
(630) 835-4780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.375311
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.021621
IL
Other
Enumeration date
03/24/2020
Last updated
05/08/2025
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