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NPI Code Detail

MEDICARE: DR. BRITTANI JAMES M.D.

MEDICARE: DR. BRITTANI JAMES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036145674IL

General Provider Information

NPI Number : 1164819215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRITTANI JAMES M.D.
Provider Business Mailing Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1536 VINCENNES AVE
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3458
Country : US
Telephone Number : 877-692-8686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 10/04/2018

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