Individual
ERIC JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Mailing address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00226728
MEDICARE RAILROAD
IL
Enumeration date
07/24/2006
Last updated
08/30/2023
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