| Thomas I Joseph, MD | |
|
4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423 | |
| (312) 421-1016 | |
| (708) 390-7001 |
| Full Name | Thomas I Joseph |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4736 Cal Sag Rd Ste A, Crestwood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770599797 | NPI | - | NPPES |
| 47055301100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036124271 (Illinois) | Primary |
| Entity Name | Dupage Emergency Physicians Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922000363 PECOS PAC ID: 6608840046 Enrollment ID: O20040823000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas I Joseph, MD 4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423 Ph: (312) 421-1016 | Thomas I Joseph, MD 4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423 Ph: (312) 421-1016 |
Dr. Antonio Noriega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13117 Rivercrest Dr, Crestwood, IL 60418 Phone: 708-371-1190 Fax: 708-448-8812 | |
Kaveh Rahmani, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4742 Cal Sag Rd, Crestwood, IL 60445 Phone: 708-342-3000 Fax: 708-342-3060 | |
Ebony Nicole Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4742 Cal Sag Rd, Crestwood, IL 60418 Phone: 708-915-2727 |