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Dr. James A Ida JR.

Dermatologist

1663 W Carmen Ave
Chicago , Illinois 60640-2701

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Dr. James A Ida JR.

Dermatologist

1663 W Carmen Ave
Chicago , Illinois 60640-2701

(773) 293-7500

Write a Review Save Call

Dr. James A Ida JR.

Dermatologist

1663 W Carmen Ave
Chicago , Illinois 60640-2701

(773) 293-7500 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist

Languages spoken

  • English

Location

1663 W Carmen Ave Chicago , Illinois 60640-2701

First Address

  • Dr. James A Ida JR.
  • 1663 W Carmen Ave
  • Chicago, IL
  • Zip : 60640-2701
  • Phone : (773) 293-7500

Second Address

  • Dr. James A Ida JR.
  • 1663 W Carmen Ave
  • Chicago, IL
  • Zip : 60640-2701
  • Phone : (773) 293-7500

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FAQs


Where did Dr. James A Ida JR. attend graduate school?

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Where did Dr. James A Ida JR. do his residency?

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Where did Dr. James A Ida JR. do his fellowship?

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Is Dr. James A Ida JR. board certified?

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What type of doctor is Dr. James A Ida JR.

Dermatologist

In what state does Dr. James A Ida JR. practice in?

Illinois

Where is Dr. James A Ida JR.’s practice located?

1663 W Carmen Ave , Chicago, Illinois, 60640-2701

What is Dr. James A Ida JR.’s gender?

Male

Is Dr. James A Ida JR. a sole practitioner?

No

Is Dr. James A Ida JR. accepting new patients?

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What languages does Dr. James A Ida JR. speak?

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Does Dr. James A Ida JR. accept insurance?

Yes, Dr. James A Ida JR. accepts insurance

Does Dr. James A Ida JR. offers telemedicine?

Dr. James A Ida JR. has not indicated if he offers telemedicine

What is Dr. James A Ida JR.’s professional license number?

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What is Dr. James A Ida JR.’s NPI number?

1013105444

Does Dr. James A Ida JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist 036.132972 IL
N 207N00000X Dermatologist 242826 MA

National Provider Identifier

NPI 1013105444
Provider Name Dr. James A Ida JR.
First Address Chicago, IL 60640-2701
Second Address Chicago, IL 60640-2701
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 10/10/2007
Last Update Date 20/04/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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