Provider Demographics
NPI:1013067669
Name:NOTH, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:NOTH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:828 N CASS AVE
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1394
Mailing Address - Country:US
Mailing Address - Phone:630-241-0021
Mailing Address - Fax:630-241-1882
Practice Address - Street 1:828 N CASS AVE
Practice Address - Street 2:SUITE 1 B
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1394
Practice Address - Country:US
Practice Address - Phone:630-241-0021
Practice Address - Fax:630-241-1882
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2016-11-21
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Provider Licenses
StateLicense IDTaxonomies
IL036062589207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036062589Medicaid
IL036062589Medicaid
IL036062589Medicaid