Individual
CHARLES JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
JESSE BROWN VAMC; 820 S. DAMEN AVE., DEPARTMENT OF RADIOLOGY; ROOM NUMBER 4436, CHICAGO, IL 60612-3728
(312) 569-7735
(312) 569-8102
Mailing address
820 S. DAMEN AVE., JESSE BROWN VAMC; DEPARTMENT OF RADIOLOGY, CHICAGO, IL 60612-3728
(312) 569-7735
(312) 569-8102
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
036-063788
IL
2085R0202X
Diagnostic Radiology Physician
336-028241
IL
Other
Enumeration date
09/20/2006
Last updated
03/16/2009
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