Provider Demographics
NPI:1639236706
Name:JAMES, NORMAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:M
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4051
Mailing Address - Country:US
Mailing Address - Phone:312-225-2055
Mailing Address - Fax:312-225-7437
Practice Address - Street 1:443 E 31ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4051
Practice Address - Country:US
Practice Address - Phone:312-225-2055
Practice Address - Fax:312-225-7437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
03520750389OtherAMERICAN MEDICAL ASSOCIAT
L037835OtherCHAMPUS
IL31602322OtherBLUE CROSS BLUE SHIELD
L037835OtherCHAMPUS
D14244Medicare UPIN