Individual
DR. JEFFREY JOHN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1110 S PARK BLVD, FREEPORT, IL 61032
(815) 232-1105
(815) 232-3117
Mailing address
1110 S PARK BLVD, FREEPORT, IL 61032
(815) 232-1105
(815) 232-3117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0002738035
WI
152W00000X
Optometrist
Primary
046008966
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008966
—
IL
Enumeration date
05/03/2006
Last updated
12/29/2020
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