Individual
DR. JINCY K JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 RANDALL RD, CARPENTERSVILLE, IL 60110-3355
(847) 695-3200
Mailing address
1942 DEMPSTER ST, EVANSTON, IL 60202-1016
(847) 688-1900
(224) 610-8595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036116215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116215
—
IL
01
—
2232882
BCBS
IL
Enumeration date
07/21/2006
Last updated
02/27/2024
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