Individual
JAMES ROBERT MCMAHON
Active
Individual
JAMES ROBERT MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036105341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912218850
NPI GROUP PRACITCE
IL
01
—
IL4174010
MEDICARE-LOCALITY 16
IL
01
—
IL4177010
MEDICARE-LOCALITY 15
IL
Enumeration date
06/05/2006
Last updated
03/23/2021
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