Judge, James
Judge, James is an individual health care provider with primary practice located at 2160 S First Ave ( 1211 Roosevelt Rd., Maywood, Il. 60153), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Judge, James can be contacted via phone (708) 531-5200.Contact Information
Primary practice address
2160 S First Ave ( 1211 Roosevelt Rd., Maywood, Il. 60153)
Maywood IL 60153
Phone: (708) 531-5200
Fax: (708) 531-5201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36058912 | Illinois |
Profile Details
NPI number | 1811977408 |
---|---|
LBN Legal business name | Judge, James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Jul 28th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811977408 | NPPES |
Illinois | MEDICAID | 36058912 |
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