Individual
JOSUE FLORES DABOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-3313
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 264-3313
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
9791717-1205
UT
208000000X
Pediatrics Physician
036130096
IL
Other
Enumeration date
06/08/2012
Last updated
10/28/2021
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