Individual
JOYCE K BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 W STATE ST STE 103E, GENEVA, IL 60134-2078
(630) 208-4412
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.165742
IL
2085R0202X
Diagnostic Radiology Physician
77048
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.165742
STATE LICENSE
IL
Enumeration date
03/30/2016
Last updated
07/07/2023
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