Provider Demographics
NPI:1093950347
Name:JOSEPH, ELSY THOMAS (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ELSY
Middle Name:THOMAS
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:ELSY
Other - Middle Name:CHELLAKANDATHIL
Other - Last Name:KURIAKOSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 W. HARRISON STREET
Mailing Address - Street 2:JHS JR. HOSPITAL OF COOK COUNTY, DEPT. OF PSYCHIATRY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-6000
Mailing Address - Fax:312-864-8014
Practice Address - Street 1:1901 W. HARRISON STREET
Practice Address - Street 2:JHS JR. HOSPITAL OF COOK COUNTY, DEPT. OF PSYCHIATRY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-8000
Practice Address - Fax:312-864-8014
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-251305163WP0808X
IL209.007014363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health