Individual
JAMES CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(312) 996-9035
Mailing address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(312) 996-9035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R-11695
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.160948
IL
Other
Enumeration date
06/24/2019
Last updated
10/13/2022
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