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NPI Code Detail

MEDICARE: DR. JUDY JOSEPH M.D.

MEDICARE: DR. JUDY JOSEPH 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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1346294642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY JOSEPH M.D.
Provider Business Mailing Address
First Line : 2201 COTTONWOOD DR
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-7770
Country : US
Telephone Number : 847-998-8110
Fax Number : 773-764-9781
Provider Business Practice Location Address
First Line : 3048 W PETERSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60659-3720
Country : US
Telephone Number : 773-764-9780
Fax Number : 773-764-9781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JUDY JOSEPH M.D.” Practice Location

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