Individual
DR. JAMES ROBERT LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
269 W ELK TRL, CAROL STREAM, IL 60188-9373
(630) 681-1173
(630) 868-3948
Mailing address
269 W ELK TRL, CAROL STREAM, IL 60188-9373
(630) 681-1173
(630) 868-3948
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2115
MA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016004900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004900
—
IL
01
—
316001998
CONTOLLED SUBSTANCE #
IL
01
—
Y71049
BLUE CROSS
IL
Enumeration date
07/31/2006
Last updated
03/07/2023
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