Provider Demographics
NPI:1508065061
Name:JOYCE, JOHN (P,T,)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:JOYCE
Suffix:
Gender:M
Credentials:P,T,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 N MARSHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1126
Mailing Address - Country:US
Mailing Address - Phone:773-671-7334
Mailing Address - Fax:
Practice Address - Street 1:9910 W 190TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-5605
Practice Address - Country:US
Practice Address - Phone:773-671-7334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-15
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment