Theodore G James Mdsc
NPI #1962603837 in Blue Island, Illinois
Provider Information
- NPI Number
- 1962603837
- Entity Type
- Organization
- Organization Name
- Theodore G James Mdsc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13000 MAPLE AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2318
- Phone
- (708) 799-8440
Authorized Official
- Name
- KIM WYLIE
- Title
- OFFICE MANAGER
- Phone
- (708) 799-8440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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