Driscoll, Josephine

Driscoll, Josephine is an individual health care provider with primary practice located at 400 Skokie Blvd., Suite 450 , Northbrook IL 60062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Driscoll, Josephine can be contacted via phone (847) 272-0012.

Contact Information

Primary practice address
400 Skokie Blvd., Suite 450 Northbrook IL 60062
Phone: (847) 272-0012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002143 Illinois

Profile Details

NPI number 1396282695
LBN Legal business name Driscoll, Josephine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 9 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 1396282695 NPPES
Illinois Other 085-002143 DEPARTMENT OF PROFESSIONAL REGULATION

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