Search › Illinois › 207N00000X
James Ida, MD
NPI 1013105444 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1663 W Carmen Ave
Chicago, IL 60640 - Phone
- (773) 293-7500
- Organisation at this address
- Northside Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
- Licence states on file
- MA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois