Individual
JOSEPH H MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 HIGH ST, BLUE ISLAND, IL 60406-2426
(708) 388-5500
(708) 388-5672
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-2426
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
036063953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063953
—
IL
01
—
130023545
RAILROAD MEDICARE
IL
Enumeration date
04/17/2006
Last updated
10/12/2021
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