Provider Demographics
NPI:1902941636
Name:JOY, ROSEMARY THALAKOTOOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:THALAKOTOOR
Last Name:JOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:616 W FULTON ST
Mailing Address - Street 2:410
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-1251
Mailing Address - Country:US
Mailing Address - Phone:312-265-0216
Mailing Address - Fax:773-548-8632
Practice Address - Street 1:5001 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2112
Practice Address - Country:US
Practice Address - Phone:773-451-4700
Practice Address - Fax:773-548-8632
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics