Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036113423 | IL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036113423 | IL |
NPI | 1225147028 |
---|---|
Provider Name | Dr. James R Seeds |
First Address | Elgin, IL 60123-4719 |
Second Address | Elgin, IL 60123-4719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036113423 | (05) | IL |
207906 | MEDICARE GRP MCHENRY (01) | |
208821 | MEDICARE GRP KANE (01) | |
CE6001 | RR MEDICARE KANE (01) | |
CG2631 | RR MEDICARE MCHENRY (01) | |
I14448 | (02) | IL |