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Alex K Joseph, MBBS, PA-C

Physician Assistant in St Charles, IL. Individual provider (NPI-1).

NPI number1669923280
StatusActive
Last updated in NPPESOct 19, 2016

Details

NPI
1669923280
Entity type
Individual (NPI-1)
Name
Alex K Joseph
Credential
MBBS, PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2016
Last updated
Oct 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085005999ILYes

Practice location

2000 W Main St
St Charles, IL 60174-1775

Phone 630-463-6036

Mailing address

9403 Clancy Dr
Des Plaines, IL 60016-5118

Phone 224-399-5393

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