Individual
DR. JAMES A IDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1663 W CARMEN AVE, CHICAGO, IL 60640-2701
(773) 293-7500
Mailing address
1663 W CARMEN AVE, CHICAGO, IL 60640-2701
(773) 293-7500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.132972
IL
207N00000X
Dermatology Physician
242826
MA
Other
Enumeration date
10/10/2007
Last updated
04/20/2020
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