Swan, James

Swan, James is an individual health care provider with primary practice located at 2160 S 1St Ave (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Swan, James can be contacted via phone (708) 485-1020.

Contact Information

Primary practice address
2160 S 1St Ave (321 Lagrange Rd., Lagrande Park, Il.60526) Maywood IL 60153-3328
Phone: (708) 485-1020
Fax: (708) 485-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36063593 Illinois

Profile Details

NPI number 1316926140
LBN Legal business name Swan, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 5th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316926140 NPPES
Illinois MEDICAID 36063593

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