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Individual

MRS. MARY J JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
1901 W HARRISON ST, DEPT OF CARDIOLOGY ROOM# 2772, JOHN STROGER HOSPITAL OF, CHICAGO, IL 60612-3714
(213) 864-3416
(312) 864-9765
Mailing address
4851 HOWARD ST, SKOKIE, IL 60077-2809
(847) 673-5451
(312) 864-9765

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
IL

Other

Enumeration date
07/14/2006
Last updated
07/09/2007
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