Dr. James A Ida JR.
Dermatologist
1663 W Carmen Ave
Chicago
, Illinois 60640-2701
Dr. James A Ida JR.
Dermatologist
1663 W Carmen Ave
Chicago
, Illinois 60640-2701
(773) 293-7500
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
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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Is Dr. James A Ida JR. a sole practitioner?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.