Individual provider · Type 1 NPI

Tijo Joseph

Addiction (Substance Use Disorder) Registered Nurse · Waukegan, IL

NPI number 1154299378 Active

Practice location

3002 Grand Ave
Waukegan, IL 60085-2321

Mailing address

625 Regency Dr
Des Plaines, IL 60016-7535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X041498830 (IL)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1154299378

Tijo Joseph's National Provider Identifier is 1154299378, issued on Oct 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Waukegan, IL. The record was last updated on Oct 28, 2025.