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NPI Code Detail

MEDICARE: JAMES J KAMBOL M.D.

MEDICARE: JAMES J KAMBOL 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
1207P00000XEmergency Medicine Physician036-097283IL
2207P00000XEmergency Medicine Physician33079-020WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930053854OTHERWIMEDICARE RAILROAD
3930045953OTHERWIMEDICARE RAILROAD
4930081051OTHERWIMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205863370
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES J KAMBOL M.D.
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number :
Fax Number : 414-290-6755
Provider Business Practice Location Address
First Line : 1032 E SUMNER ST
Second Line :
City : HARTFORD
State : WI
Zip : 53027-1608
Country : US
Telephone Number : 262-673-2300
Fax Number : 262-670-7620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 11/15/2023

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