Individual
DR. KIMBERLY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 W POLK ST, DEPARTMENT OF TRAUMA, ROOM 1300, CHICAGO, IL 60612-3723
(312) 864-2740
(312) 864-9169
Mailing address
4226 N KOLMAR AVE, CHICAGO, IL 60641-1900
(312) 864-2740
(312) 864-9169
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036081051
IL
2086S0102X
Surgical Critical Care Physician
036081051
IL
2086S0127X
Trauma Surgery Physician
036081051
IL
Other
Enumeration date
04/04/2007
Last updated
06/26/2020
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