Individual
DR. MARSHALL EDWARD JAMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5818 COLUMBIA AVE, HAMMOND, IN 46320-2607
(219) 237-5160
(219) 321-1935
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078039A
IN
207Q00000X
Family Medicine Physician
036103915
IL
208D00000X
General Practice Physician
036103915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103915
—
IL
Enumeration date
05/11/2006
Last updated
03/27/2026
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