MEDICARE: DR. JAMES ALAN MCCOMBS DO

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
1	146D00000X	Personal Emergency Response Attendant	390200000X	OH
2	207P00000X	Emergency Medicine Physician	036.133724	IL

General Provider Information

NPI Number	:	1336320860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ALAN MCCOMBS DO

Provider Business Mailing Address
First Line	:	635 N DEARBORN ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Provider Business Practice Location Address
First Line	:	635 N DEARBORN ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	03/24/2023

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