Mcdonnell, James Ford

Mcdonnell, James Ford is an individual health care provider with primary practice located at 2160 S First Ave (Luh - No. Ent., Rm 2601), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mcdonnell, James Ford can be contacted via phone (708) 216-3408.

Contact Information

Primary practice address
2160 S First Ave (Luh - No. Ent., Rm 2601) Maywood IL 60153
Phone: (708) 216-3408
Fax: (708) 216-3557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36073690 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36073690 Illinois

Profile Details

NPI number 1093782831
LBN Legal business name Mcdonnell, James Ford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 29th, 2021 - about 3 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 1093782831 NPPES
Illinois MEDICAID 36073690

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