Lord, James Robert

Lord, James Robert is an sole proprietor health care provider with primary practice located at 269 W Elk Trl , Carol Stream IL 60188-9373. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Lord, James Robert can be contacted via phone (630) 681-1173.

Contact Information

Primary practice address
269 W Elk Trl Carol Stream IL 60188-9373
Phone: (630) 681-1173
Fax: (630) 868-3948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2115 Massachusetts
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016004900 Illinois

Profile Details

NPI number 1760498612
LBN Legal business name Lord, James Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1760498612 NPPES
Illinois Other 316001998 CONTOLLED SUBSTANCE #
Illinois MEDICAID 016004900 CONTOLLED SUBSTANCE #
Illinois Other Y71049 CONTOLLED SUBSTANCE #

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