Individual
DR. JOYCE K DIIPLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 W 79TH ST, BURBANK, IL 60459-1554
(708) 499-1545
(708) 499-4862
Mailing address
4901 W 79TH ST, BURBANK, IL 60459-1554
(708) 499-1545
(708) 499-4862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472431
—
IA
Enumeration date
08/08/2006
Last updated
01/31/2012
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