Provider Demographics
NPI:1407927916
Name:POSKOZIM, JOY VICTORIA (PC)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:VICTORIA
Last Name:POSKOZIM
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 N. SANDBURG TERRACE
Mailing Address - Street 2:#2005
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:312-498-2209
Mailing Address - Fax:
Practice Address - Street 1:JOYFUL DENTAL CARE
Practice Address - Street 2:6314 N. CICERO
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646
Practice Address - Country:US
Practice Address - Phone:773-736-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist