Individual
JOAN M COVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
305 VINE ST, NEW LENOX, IL 60451
(815) 485-2541
(815) 485-2667
Mailing address
9223 W SAINT FRANCIS ROAD, FRANKFORT, IL 60423
(815) 806-3111
(815) 464-2621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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