Individual
DR. JOSEPH WILLIAM PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 S RANDOLPH ST, MACOMB, IL 61455-3828
(217) 779-6063
Mailing address
6482 LAKESHORE VIEW DR, RUSHVILLE, IL 62681-4707
(217) 779-6063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005721
IL
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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