Individual
JAMES MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 550-6613
Mailing address
900 S CLARK ST APT 1403, CHICAGO, IL 60605-3692
(312) 550-6613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125060976
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4892696
AETNA
CA
01
—
6355229
CIGNA
CA
01
—
CA305106
MEDICARE
CA
01
—
CA305107
MEDICARE
CA
01
—
CA305108
MEDICARE
CA
01
—
CB298847
MEDICARE
CA
01
—
P02054758
RAILROAD MEDICARE
CA
01
—
P02054895
RAILROAD MEDICARE
CA
Enumeration date
12/07/2007
Last updated
08/21/2019
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