Theodore G James Mdsc in Blue Island - Family Medicine
Theodore G James Mdsc - NPI 1962603837
Theodore G James Mdsc is a Family Medicine in Blue Island, Illinois. Theodore G James Mdsc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Theodore G James Mdsc is 1962603837. The last update date is 2020-08-22.
Theodore G James Mdsc's current location address is 13000 Maple Ave, Blue Island, Illinois. You can contact this provider via phone number 7087998440. The mailing address for Theodore G James Mdsc is 13000 Maple Ave, Blue Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theodore G James Mdsc |
|---|---|
| Address | 13000 Maple Ave, Blue Island, Illinois |
| Phone Number | 7087998440 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Wylie Kim |
| Telephone Number | 7087998440 |
NPI Number Detail
| NPI Number | 1962603837 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 13000 Maple Ave |
|---|---|
| City | Blue Island |
| State | Illinois (IL) |
| Post Code | 604062318 |
| Phone Number | 7087998440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626986 | IL | BLUE SHIELD |
Post Comment/ Review Below
What is the Theodore G James Mdsc's unique identification number?
The Theodore G James Mdsc has been assigned the NPI (National Provider Identifier) Number 1962603837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Theodore G James Mdsc's physical address?
The Theodore G James Mdsc is physically located at 13000 Maple Ave, in the city of Blue Island, IL, with the postal code 604062318.
What is Theodore G James Mdsc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore G James Mdsc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did Theodore G James Mdsc receive its 1962603837 assignment from the Centers for Medicare & Medicaid Services?
The Theodore G James Mdsc was assigned its 1962603837 on 2007-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theodore G James Mdsc most recently updated or revised?
The information pertaining to Theodore G James Mdsc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA