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NPI Code Detail

MEDICARE: JOSHUA DAVID LOW

MEDICARE: JOSHUA DAVID LOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209033769IL

General Provider Information

NPI Number : 1992547384
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA DAVID LOW
Provider Business Mailing Address
First Line : 2539 PRAIRIE AVE APT GN
Second Line :
City : EVANSTON
State : IL
Zip : 60201-2253
Country : US
Telephone Number : 773-255-3968
Fax Number :
Provider Business Practice Location Address
First Line : 2319 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4209
Country : US
Telephone Number : 773-579-0762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2024
Last Update Date : 11/18/2025

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Directions to “ JOSHUA DAVID LOW ” Practice Location

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