Healthcare Provider Details

I. General information

NPI: 1730003815
Provider Name (Legal Business Name): MRS. JOSNI ANN JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5465 GRAND AVE STE 101
GURNEE IL
60031-4913
US

IV. Provider business mailing address

9346 LANDINGS LN UNIT 407
DES PLAINES IL
60016-5226
US

V. Phone/Fax

Practice location:
  • Phone: 224-303-4395
  • Fax: 224-214-3154
Mailing address:
  • Phone: 224-303-4395
  • Fax: 224-214-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150118781
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: