Provider Demographics
NPI:1710272992
Name:PIERSON, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 W AUGUSTA BLVD
Mailing Address - Street 2:APT. 2F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4822
Mailing Address - Country:US
Mailing Address - Phone:330-524-5596
Mailing Address - Fax:
Practice Address - Street 1:5840 S MARYLAND AVE # MC4028
Practice Address - Street 2:THE UNIVERSITY OF CHICAGO MEDICAL CENTER, DEPT. OF ANES
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1462
Practice Address - Country:US
Practice Address - Phone:773-702-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125056601207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology