Jesu Joseph, DO

NPI #1083141667 in Rockford, Illinois

Provider Information

NPI Number: 1083141667
Entity Type: Individual
Name: Jesu Joseph, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 15, 2017
Last Updated: Feb 25, 2021

Practice Location

Address: 2404 CHARLES ST
City: Rockford
State: Illinois
ZIP Code: 61108-1602
Phone: (779) 696-7910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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