Joseph Cyriac, MD
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1104846963
StatusActive
Last updated in NPPESMay 23, 2019
Details
- NPI
- 1104846963
- Entity type
- Individual (NPI-1)
- Name
- Joseph Cyriac
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- May 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036115037 | IL | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | 036115037 | IL | |
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | 036115037 | IL |
Practice location
3435 W Van Buren StChicago, IL 60624-3312
Phone 773-265-3583
Mailing address
Po Box 93554Chicago, IL 60673-3554
Phone 630-734-0200
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