Jack Joseph is a Clinical in Northbrook, Illinois. Jack Joseph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Joseph is 1699705517. The last update date is 2007-07-08.
Jack Joseph's current location address is 1535 Lake Cook Rd, Northbrook, Illinois. You can contact this provider via phone number 8474984744 and fax number 8474984811. The mailing address for Jack Joseph is 1535 Lake Cook Rd, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Joseph |
|---|---|
| Address | 1535 Lake Cook Rd, Northbrook, Illinois |
| Phone Number | 8474984744 |
| Fax Number | 8474984811 |
| Sole Proprietor | Y |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1699705517 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1535 Lake Cook Rd |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600621447 |
| Phone Number | 8474984744 |
| Fax Number | 8474984811 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Joseph by the Centers for Medicare & Medicaid Services?
The Jack Joseph has been assigned the NPI (National Provider Identifier) 1699705517 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Joseph's facilities are situated?
The facilities of Jack Joseph are physically located at the following address: 1535 Lake Cook Rd, Northbrook, IL, 600621447.
What is Jack Joseph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Joseph is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did the Jack Joseph receive its 1699705517?
The Jack Joseph was issued its 1699705517 on 2006-07-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jack Joseph last refreshed?
The information related to the Jack Joseph, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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