Individual
JAMES PATRICK FORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1142 CHICAGO AVE, OAK PARK, IL 60302-1837
(708) 660-0889
(708) 660-0431
Mailing address
PO BOX 164, OAK PARK, IL 60303-0164
(708) 660-0889
(408) 660-0431
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004746-4
—
IL
01
—
02207597
BC / BS
IL
Enumeration date
05/13/2006
Last updated
07/09/2007
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