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NPI Code Detail

MEDICARE: JOY B WEST M.D.

MEDICARE: JOY B WEST M.D.
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
1207V00000XObstetrics & Gynecology Physician036083447IL

General Provider Information

NPI Number : 1053482315
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY B WEST M.D.
Provider Business Mailing Address
First Line : 9718 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-1007
Country : US
Telephone Number : 773-298-2056
Fax Number : 773-233-4055
Provider Business Practice Location Address
First Line : 9718 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-1007
Country : US
Telephone Number : 773-298-2056
Fax Number : 773-233-4055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 04/17/2025

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