Jester, Joy Darlene
Jester, Joy Darlene is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Jester, Joy Darlene can be contacted via phone (708) 226-7000.Contact Information
Primary practice address
17495 La Grange Rd
Tinley Park IL 60487-7581
Phone: (708) 226-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036099358 | Illinois |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036099358 | Illinois |
Profile Details
NPI number | 1487643334 |
---|---|
LBN Legal business name | Jester, Joy Darlene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Aug 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487643334 | NPPES |
Illinois | MEDICAID | 036099358 | |
Illinois | Other | 070015439 |
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