| Doctor Name: | MS. MANEESHA T JOSEPH |
| NPI Number: | 1033494455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 041.394485 |
| Business Practice Address: | 1302 Franklin Ave Suite 3400 Normal, IL - 617613551 |
| Business Phone Number: | 3095568300 |
| Business Fax Number: | 3095568295 |
| Mailing Address: | 1302 Franklin Ave, Suite 3400 NORMAL |
| State: | IL |
| Postal Code: | 617613551 |
| Phone Number: | 3095568300 |
| Fax Number: | 3095568295 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 041.394485 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |