Doctor Name: | MRS. EMILY JOY NAFTALI |
NPI Number: | 1033458542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 085.004605 |
Business Practice Address: | 333 Madison St Joliet, IL - 604358200 |
Business Phone Number: | 8157257138 |
Business Fax Number: | |
Mailing Address: | 750 N Dearborn St Apt 2508, CHICAGO |
State: | IL |
Postal Code: | 606545382 |
Phone Number: | 3106946320 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 085.004605 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |