Active NPI
Charles James, M.D.
- Military Health Care Provider
- Chicago, IL
National Provider Identifier
1114025483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 036-063788
- Practice address
- Jesse Brown Vamc; 820 S. Damen Ave.
Department of Radiology; Room Number 4436
Chicago, IL 60612-3728 - Phone
- (312) 569-7735
- Fax
- (312) 569-8102
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 036-063788 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 336-028241 | IL |
Addresses
Primary practice location
Jesse Brown Vamc; 820 S. Damen Ave.
Department of Radiology; Room Number 4436
Chicago, IL 60612-3728
Mailing address
820 S. Damen Ave.
Jesse Brown Vamc; Department of Radiology
Chicago, IL 60612-3728
Phone (312) 569-7735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-063788 | IL | MD | Military Health Care Provider |
| 336-028241 | IL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1114025483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S. DAMEN AVE.",
"address_2": "JESSE BROWN VAMC; DEPARTMENT OF RADIOLOGY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123728",
"telephone_number": "312-569-7735",
"fax_number": "312-569-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JESSE BROWN VAMC; 820 S. DAMEN AVE.",
"address_2": "DEPARTMENT OF RADIOLOGY; ROOM NUMBER 4436",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123728",
"telephone_number": "312-569-7735",
"fax_number": "312-569-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "IL",
"license": "036-063788",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "336-028241",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.