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Jesu Joseph, DO
Family Medicine Physician in Rockford, Illinois
NPI 1083141667

Jesu Joseph is a Family Medicine Physician based in Milwaukee, IL. Jesu Joseph practices in Rockford, IL and has the professional credentials of DO. The NPI Number for Jesu Joseph is 1083141667 and holds a License No. (Illinois).

The current practice location address for Jesu Joseph is 2404 Charles St, Rockford, IL and can be reached out via phone at 779-696-7910 and via fax at 815-227-5515.

Location: 2404 Charles St, Rockford, IL, 53278-8866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083141667
Provider Name
Jesu Joseph
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2404 Charles St, Rockford, IL, 53278-8866
Phone Number
779-696-7910
Fax Number
815-227-5515
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2404 Charles St
City
Rockford
State
Illinois
Zip
61108-1602
Phone Number
779-696-7910
Fax Number
815-227-5515
person
Provider Business Mailing Address Details
Address
2404 Charles St
City
Rockford
State
Illinois
Zip
61108-1602
Phone Number
779-696-7910
Fax Number
815-227-5515
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-150252 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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