Individual
ALEX K JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, PA-C
Contact information
Practice address
2000 W MAIN ST, ST CHARLES, IL 60174-1775
(630) 463-6036
Mailing address
9403 CLANCY DR, DES PLAINES, IL 60016-5118
(224) 399-5393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005999
IL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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