Wise, Joyce

Wise, Joyce is an individual health care provider with primary practice located at 507 E Armstrong Regional Development Center, Peoria IL 61603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Wise, Joyce can be contacted via phone (309) 681-6960.

Contact Information

Primary practice address
507 E Armstrong Regional Development Center Peoria IL 61603
Phone: (309) 681-6960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X Illinois

Profile Details

NPI number 1073582870
LBN Legal business name Wise, Joyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582870 NPPES
Illinois Other IL01A3 JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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