Individual
JAMES HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
828 CASTLETON CT, MUNDELEIN, IL 60060-1477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009766
IL
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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