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Individual

MRS. JO M JOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
25 N WINFIELD ROAD, #519, WINFIELD, IL 60190
(630) 668-2180
(630) 668-2195
Mailing address
25 N WINFIELD ROAD, #519, WINFIELD, IL 60190
(630) 668-2180
(630) 668-2195

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002885
IL
363AM0700X
Medical Physician Assistant
085-002885
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085-002885
PHYSICIAN ASST LICENSE
IL
Enumeration date
03/19/2007
Last updated
07/21/2017
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