Individual
BEN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 GRAND AVE STE A, WAUKEGAN, IL 60085-3676
(847) 249-1733
(847) 782-4515
Mailing address
21109 LAGO BELLO LN, FRIANT, CA 93626-1209
(559) 326-0834
(559) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277001409
IL
207Q00000X
Family Medicine Physician
Primary
95004552
CA
Other
Enumeration date
07/26/2016
Last updated
03/03/2026
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