Individual
DR. JOSHUA O PODJASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8110 S CASS AVE, DARIEN, IL 60561-5013
(630) 920-1900
(630) 920-1901
Mailing address
8110 S CASS AVE, DARIEN, IL 60561-5013
(630) 920-1900
(630) 920-1901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.133122
IL
207N00000X
Dermatology Physician
104541
MN
207N00000X
Dermatology Physician
52332
MN
207R00000X
Internal Medicine Physician
125.054490
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/03/2008
Last updated
09/19/2013
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