Individual
DR. JAMES L. MADARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4849 S ELLIS AVE, CHICAGO, IL 60615-1809
(773) 924-1915
Mailing address
4849 S ELLIS AVE, CHICAGO, IL 60615-1809
(773) 924-1915
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036107199
IL
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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