Theodore G James (NPI# 1598741050, PAC ID# 6709873862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598741050 |
| PAC ID by PECOS | 6709873862 |
| Professional Enrollment ID | I20040429000711 |
| Full Name | Theodore G James |
| Address |
2310 York St 2c Blue Island IL 60406-2411 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1964 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140062 | PALOS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2310 York St, 2c, Blue Island, IL 60406-2411 |
| Street Address |
2310 YORK ST 2C |
| City | BLUE ISLAND |
| State | IL |
| Zip | 60406-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafiq Ahmed | Gastroenterology | 2310 York St, 2b, Blue Island, IL 60406-2411 | |
| Vybert P Greene | Obstetrics/gynecology | 2310 York St, Suite 4d, Blue Island, IL 60406-2411 | |
| Vanessa Howard | Nurse Practitioner | Blue Island Clinic Company LLC | 2310 York St, Suite 5a, Blue Island, IL 60406-2411 |
| William W Ashley | Cardiovascular Disease (cardiology) | 2310 York St, Blue Island, IL 60406-2411 | |
| Gregorio M Tolentino | Radiation Oncology | 2310 York St, Blue Island, IL 60406-2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura J Lucero | Emergency Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Nicole Fitzgerald | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Jennifer Komada | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Rebecca Cummings | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Celeste Mcfarland | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Sheri Nichole Morse | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kristen M Sobol | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Kaitlyn Steinberg | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Naomi Shirleen Chinavong | Nurse Practitioner | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Fatima Ali Hyder | Internal Medicine | Midwest Express Care 2 Inc | 12200 Western Ave, Blue Island, IL 60406-1398 |
| Find all physicians in zip 60406 | |||
| City | BLUE ISLAND |
| Zip Code | 60406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BLUE ISLAND + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.