Individual ProviderKimberly JosephSurgeryAllopathic & Osteopathic PhysiciansPractice Address1900 W Polk St, Department Of Trauma, Room 1300, Chicago, IL 60612-3723(312) 864-2740PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Joseph is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1447372115Provider TypeIndividualFull NameJoseph, KimberlyTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/4/2007Last Updated6/26/2020Contact InformationPractice LocationPractice Address1900 W Polk St, Department Of Trauma, Room 1300, Chicago, IL 60612-3723Phone(312) 864-2740Fax(312) 864-9169Mailing LocationMailing Address4226 N Kolmar Ave, Chicago, IL 60641-1900Phone(312) 864-2740Fax(312) 864-9169Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036081051IllinoisCode2086S0102XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036081051IllinoisCode2086S0127XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036081051Illinois