Individual
DR. JOSEPH S EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3707 DOTY RD STE CANDD, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 206-1086
Mailing address
3707 DOTY RD STE CANDD, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 206-1086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036104174
STATE LICENSE
IL
01
—
110230249
MEDICARE RAILROAD
IL
Enumeration date
05/04/2006
Last updated
07/21/2021
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