Ida, James A

Ida, James A is an sole proprietor health care provider with primary practice located at 1663 W Carmen Ave , Chicago IL 60640-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ida, James A can be contacted via phone (773) 293-7500.

Contact Information

Primary practice address
1663 W Carmen Ave Chicago IL 60640-2701
Phone: (773) 293-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 242826 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.132972 Illinois

Profile Details

NPI number 1013105444
LBN Legal business name Ida, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Apr 20th, 2020 - about 6 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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