Individual
DR. JAMES J DUKELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
716 N GALENA AVE, DIXON, IL 61021-1510
(815) 284-2023
(630) 897-6851
Mailing address
716 N GALENA AVE, DIXON, IL 61021-1510
(815) 281-2023
(630) 897-6849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004431
—
IL
01
—
05232002
BCBS
IL
01
—
09821954
BCBS
IL
01
—
480034399
RAIL ROAD MEDICARE
IL
01
—
P00153306
RAIL ROAD MEDICARE
IL
Enumeration date
09/29/2005
Last updated
07/30/2008
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