Individual
DR. JAMES C GARITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 S EXECUTIVE DR, SUITE 350, BROOKFIELD, WI 53005-4204
(262) 373-1647
(262) 373-1650
Mailing address
2001 BUTTERFIELD RD, SUITE 300, DOWNERS GROVE, IL 60515-1050
(630) 725-2832
(877) 489-5993
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
46635-020
WI
207Q00000X
Family Medicine Physician
036121623
IL
2083X0100X
Occupational Medicine Physician
46635-020
WI
208D00000X
General Practice Physician
Primary
46635020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000068227
GROUP MEDICARE PTAN
WI
01
—
789510
GROUP MEDICARE PTAN
IL
01
—
789511
GROUP MEDICARE PTAN
IL
01
—
DE2420
MEDICARE RAILROAD GROUP PTAN
WI
01
—
P01658759
MECICARE RAILROAD INDIVIDUAL PTAN
WI
Enumeration date
05/25/2007
Last updated
07/13/2016
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