Individual
DR. POONAM D JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, BROCK 4011, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3694
(847) 981-6508
Mailing address
800 BIESTERFIELD RD, BROCK 4011, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3694
(847) 981-6508
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
36111681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36111681
—
IL
Enumeration date
10/19/2005
Last updated
04/15/2013
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