Provider Demographics
NPI:1417944281
Name:DUNNE, JAMES P (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:DUNNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14489 JOHN HUMPHREY DR
Mailing Address - Street 2:EXCELLENT MEDICAL ASSOCIATES
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2671
Mailing Address - Country:US
Mailing Address - Phone:708-364-1205
Mailing Address - Fax:708-364-1265
Practice Address - Street 1:14489 JOHN HUMPHREY DR
Practice Address - Street 2:EXCELLENT MEDICAL ASSOCIATES
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2671
Practice Address - Country:US
Practice Address - Phone:708-364-1205
Practice Address - Fax:708-364-1265
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2015-02-13
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Provider Licenses
StateLicense IDTaxonomies
IL036078663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E57897Medicare UPIN