Individual
DR. JAMES R O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10745 165TH ST, ORLAND PARK, IL 60467-8713
(708) 364-5700
(708) 745-3120
Mailing address
10745 165TH ST, ORLAND PARK, IL 60467-8713
(708) 364-5700
(708) 745-3120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.070374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615715
BLUE CROSS BLUE SHIELD
IL
05
—
036070374
—
IL
Enumeration date
01/09/2007
Last updated
08/24/2010
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