Individual
MARIA JOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 413-3737
Mailing address
702 S LYTLE ST, UNIT 1N, CHICAGO, IL 60607-4192
(617) 285-5038
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.172322
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.172322
IL
Other
Enumeration date
11/16/2015
Last updated
10/08/2025
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