Individual
MATHEW M JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4955 N. MILWAUKEE AVE, CHICAGO, IL 60630
(773) 545-1882
Mailing address
4955 N. MILWAUKEE AVE, CHICAGO, IL 60630
(773) 545-1882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023073
IL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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