Search › Illinois › 103T00000X
Joseph Proctor
NPI 1497287007 · on the registry since 2017 · sole proprietor
Practice
- Address
- 210 S Randolph St
Macomb, IL 61455 - Phone
- (217) 779-6063
- Organisation at this address
- Macomb Mental Wellness Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois