Individual
JOSEPH A MEISENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 W. COURT ST., SUITE 202, KANKAKEE, IL 60901-3693
(815) 935-1161
(815) 932-3678
Mailing address
455 W. COURT ST., SUITE 202, KANKAKEE, IL 60901-3693
(815) 935-1161
(815) 932-3678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053943
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053943
—
IL
Enumeration date
05/05/2006
Last updated
03/02/2011
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