Josue Flores Daboub
Pediatrician Clinical Genetics (M.D.)
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
Josue Flores Daboub
Pediatrician Clinical Genetics (M.D.)
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
(309) 264-3313
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Josue Flores Daboub
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 264-3313
Second Address
- Josue Flores Daboub
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 624-3313
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What type of doctor is Josue Flores Daboub
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Is Josue Flores Daboub a sole practitioner?
Is Josue Flores Daboub accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 9791717-1205 | UT |
| N | 208000000X | Pediatrician | 036130096 | IL |
National Provider Identifier
| NPI | 1306108105 |
|---|---|
| Provider Name | Josue Flores Daboub |
| First Address | Peoria, IL 61637-0001 |
| Second Address | Peoria, IL 61637-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2012 |
| Last Update Date | 28/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.