Provider Demographics
NPI:1780954198
Name:JAMES, DEVON MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 W BURLINGTON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2221
Mailing Address - Country:US
Mailing Address - Phone:630-332-0166
Mailing Address - Fax:630-332-5133
Practice Address - Street 1:512 W BURLINGTON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2221
Practice Address - Country:US
Practice Address - Phone:630-332-0166
Practice Address - Fax:630-332-5133
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor