Individual
JAMES J KAMBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 673-2300
(262) 670-7620
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-097283
IL
207P00000X
Emergency Medicine Physician
Primary
33079-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31913200
—
WI
01
—
930045953
MEDICARE RAILROAD
WI
01
—
930053854
MEDICARE RAILROAD
WI
01
—
930081051
MEDICARE RAILROAD
WI
Enumeration date
06/26/2006
Last updated
11/15/2023
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