Individual
JOSEPHINE DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SKOKIE BLVD., SUITE 450, NORTHBROOK, IL 60062
(847) 272-0012
Mailing address
400 SKOKIE BLVD., SUITE 450, NORTHBROOK, IL 60062
(847) 272-0012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-002143
DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
01/24/2017
Last updated
01/24/2017
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