Individual
JAMES FORD MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (LUH - NO. ENT., RM 2601), MAYWOOD, IL 60153
(708) 216-3408
(708) 216-3557
Mailing address
2160 S FIRST AVE, (LUH - NO. ENT., RM 2601), MAYWOOD, IL 60153
(708) 216-3408
(708) 216-3557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
36073690
IL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
036073690
IL
208000000X
Pediatrics Physician
36073690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36073690
—
IL
Enumeration date
03/01/2006
Last updated
04/29/2021
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