Individual
DR. SUJA ANN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611
(312) 227-3550
(312) 227-9642
Mailing address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611-2991
(312) 227-3550
(312) 227-9642
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
45157
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261L
HUMANA
—
05
—
34298000
—
WI
Enumeration date
05/20/2006
Last updated
03/06/2019
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