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Provider Information for 1407927916



DR. JOY VICTORIA POSKOZIM P.C.

Gender: FEMALE

Individual NPI: 1407927916

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1407927916
Enumeration Date 2006-11-13
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1455 N. SANDBURG TERRACE #2005
CHICAGO, IL 60610
United States

Phone: 312-498-2209 | Fax:
View Map External Link
Primary Practice Address JOYFUL DENTAL CARE 6314 N. CICERO
CHICAGO, IL 60646
United States

Phone: 773-736-7767 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist IL