Doctor Name: | MRS. JUDITH WHITFORD JAMES |
NPI Number: | 1194972828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 209.007201 |
Business Practice Address: | 6131 Dempster St Morton Grove, IL - 600532953 |
Business Phone Number: | 8479675010 |
Business Fax Number: | 8479675147 |
Mailing Address: | 6131 Dempster St, MORTON GROVE |
State: | IL |
Postal Code: | 600532953 |
Phone Number: | 8479675010 |
Fax Number: | 8479675147 |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.007201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |