Ford, James Patrick

Ford, James Patrick is an individual health care provider with primary practice located at 1142 Chicago Ave , Oak Park IL 60302-1837. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ford, James Patrick can be contacted via phone (708) 660-0889.

Contact Information

Primary practice address
1142 Chicago Ave Oak Park IL 60302-1837
Fax: (708) 660-0431
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1376594473
LBN Legal business name Ford, James Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376594473 NPPES
Illinois MEDICAID 016004746-4
Illinois Other 02207597

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