Individual
THERESA DOROTHYANN DIJOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
(773) 834-0652
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
(773) 834-0652
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.021017
IL
363LA2100X
Acute Care Nurse Practitioner
26NJ00882800
NJ
Other
Enumeration date
12/03/2018
Last updated
11/25/2024
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