Individual
DR. JACK JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
1535 LAKE COOK RD, SUITE 111, NORTHBROOK, IL 60062-1447
(847) 498-4744
(847) 498-4811
Mailing address
1535 LAKE COOK RD, SUITE 111, NORTHBROOK, IL 60062-1447
(847) 498-4744
(847) 498-4811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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