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NPI Code Detail

MEDICARE: DR. JAMES C CHOW D.D.S.

MEDICARE: DR. JAMES C CHOW D.D.S.
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
11223G0001XGeneral Practice Dentistry019020259IL

General Provider Information

NPI Number : 1972621647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C CHOW D.D.S.
Provider Business Mailing Address
First Line : 201 E MADISON ST STE 328
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702-5131
Country : US
Telephone Number : 217-545-8000
Fax Number :
Provider Business Practice Location Address
First Line : 109 3RD ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-2604
Country : US
Telephone Number : 217-735-2317
Fax Number : 217-732-6943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 03/26/2025

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