Provider Demographics
NPI:1972862365
Name:JOSHJOE INCORPORATED
Entity Type:Organization
Organization Name:JOSHJOE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:IZEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-640-1542
Mailing Address - Street 1:5040 190TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-5908
Mailing Address - Country:US
Mailing Address - Phone:773-941-4468
Mailing Address - Fax:
Practice Address - Street 1:5040 190TH ST
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5908
Practice Address - Country:US
Practice Address - Phone:773-941-4468
Practice Address - Fax:773-941-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle