Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Taniyamol Joseph, NP

Individual provider Nurse Practitioner · NPI 1760030498

Miss. Taniyamol Joseph, NP is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2018, 8 years ago. Practices with Integra Healthcare SC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2504 Washington St Ste 102
Waukegan, IL 60085-4960
Phone: (847) 623-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8995 Kennedy Dr Apt 1f, Des Plaines, IL 60016-5400 — (224) 616-0485

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019253 (IL)

Record details

NPI number1760030498
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Integra Healthcare Sc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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