Individual
DR. JOSEPH KENYON ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 206, CHICAGO, IL 60642-2473
(312) 939-5090
(312) 640-4496
Mailing address
1229 N NORTH BRANCH ST, SUITE 206, CHICAGO, IL 60642-2473
(312) 030-5090
(312) 640-4496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
114324
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036114324
IL
Other
Enumeration date
07/11/2006
Last updated
11/06/2009
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