Miedema, Joan C

Miedema, Joan C is an individual health care provider with primary practice located at 3860 W Ogden Ave , Chicago IL 60623-2460. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Miedema, Joan C can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3860 W Ogden Ave Chicago IL 60623-2460
Phone: (872) 588-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38264 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38264 Minnesota

Profile Details

NPI number 1356316616
LBN Legal business name Miedema, Joan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated May 26th, 2021 - about 4 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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