Provider Demographics
NPI:1831287515
Name:JOST, MARY BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:
Last Name:JOST
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5TH AVENUE & ROOSEVELT ROAD
Mailing Address - Street 2:DEPT OF NEUROLOGY #127
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141
Mailing Address - Country:US
Mailing Address - Phone:708-202-8387
Mailing Address - Fax:708-202-7936
Practice Address - Street 1:5TH & ROOSEVELT
Practice Address - Street 2:DEPT OF NEUROLOGY #127
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-7936
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL2084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology