NPI 1013105444

James a Ida, MD

Practitioner Dermatology Physician Chicago, IL

Practice location

Address: 1663 W Carmen Ave, Chicago, IL 60640-2701
Phone: (773) 293-7500

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036.132972 (IL)

Other Dermatology providers in Illinois →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 242826 (MA)

Registry record

NPI: 1013105444
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2007
Record last updated: 20 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.