Teenamol Joseph | Des Plaines, IL • PECOS Search

Teenamol Joseph

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

150 N River Rd Ste 210, Des Plaines, IL 60016-1272

(847) 290-3800 (224) 392-1724

PECOS Enrollment

Based on the most recent information from CMS, provider Teenamol Joseph does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1942999339
Provider Type
Individual
Full Name
Joseph, Teenamol
Gender
Female

Sole Proprietor
No
Enumeration Date
5/2/2023
Last Updated
5/2/2023

Contact Information

Practice Location

150 N River Rd Ste 210, Des Plaines, IL 60016-1272

Unlisted Fax

Mailing Location

450 N 5th Ave, Des Plaines, IL 60016-1123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209027283 Illinois