THEODORE G JAMES MDSC
NPI 1962603837
Family Medicine in Blue Island, IL

Active since May 30, 2007
13000 MAPLE AVE, BLUE ISLAND, IL 60406(708) 799-8440 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore G James Mdsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE G JAMES MDSC (NPI 1962603837) is a healthcare organization registered as a family medicine in Blue Island, Illinois and active in the NPI registry since May 2007. The organization lists Kim Wylie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962603837
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHEODORE G JAMES MDSC
Location Address13000 MAPLE AVEBlue Island, IL 60406-2318
Mailing Address18141 Dixie Hwy Ste 107Homewood, IL 60430-2241
Organization SubpartNo
Authorized OfficialKim WylieOffice Manager · (708) 799-8440
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1962603837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13000 MAPLE AVE, Blue Island, IL 60406

Other Identifiers 1

Other1626986IL · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Registered Nurse (Ambulatory Care)
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Physician Assistant
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Chiropractor
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Pediatrics
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Physician Assistant
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Dentist (General Practice)
13000 MAPLE AVE
BLUE ISLAND, IL 60406
Home Health
13000 MAPLE AVE
BLUE ISLAND, IL 60406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore G James Mdsc's NPI number?

The NPI number for Theodore G James Mdsc is 1962603837. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Theodore G James Mdsc located?

Theodore G James Mdsc is located at 13000 Maple Ave, Blue Island, IL 60406. The listed phone number is (708) 799-8440.

What is Theodore G James Mdsc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Theodore G James Mdsc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.