Healthcare Provider Details

I. General information

NPI: 1083673552
Provider Name (Legal Business Name): JAMES N DREYFUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10110 DON S POWERS DR STE 101D
MUNSTER IN
46321-4070
US

IV. Provider business mailing address

1600 GREEN BAY RD APT 304
HIGHLAND PARK IL
60035-5716
US

V. Phone/Fax

Practice location:
  • Phone: 219-670-4421
  • Fax:
Mailing address:
  • Phone: 219-670-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number01032593
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: