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NPI Code Detail

MEDICARE: MRS. BETTY JOECHLE APN-BC

MEDICARE: MRS. BETTY JOECHLE APN-BC
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
1363L00000XNurse Practitioner277-002099IL
2163WC0200XCritical Care Medicine Registered Nurse041.390894IL

General Provider Information

NPI Number : 1619456506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY JOECHLE APN-BC
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 4440 W 95TH ST STE 6409
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2600
Country : US
Telephone Number : 877-684-4327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 06/03/2026

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