Individual ProviderTina JosephNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2104 Miner St, Des Plaines, IL 60016-4718(847) 699-8900PECOS EnrollmentBased on the most recent information from CMS, provider Tina Joseph does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538608468Provider TypeIndividualFull NameJoseph, TinaTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date2/12/2017Last Updated2/12/2017Contact InformationPractice LocationPractice Address2104 Miner St, Des Plaines, IL 60016-4718Phone(847) 699-8900FaxUnlisted FaxMailing LocationMailing Address2104 Miner St, Des Plaines, IL 60016-4718Phone(847) 699-8900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.015496Illinois