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Individual

MR. JOSEPH ESCOBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
1330 KETTERING RD, MUNDELEIN, IL 60060-5364
(847) 566-2193
Mailing address
1330 KETTERING RD, MUNDELEIN, IL 60060-5364
(847) 566-2193

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209009807
IL
363LF0000X
Family Nurse Practitioner
Primary
277000440
IL

Other

Enumeration date
09/17/2012
Last updated
02/27/2024
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