James a. Joseph, D.O. Medical and Wellness Center, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036102939 Issued in IL

Legal business name

JAMES A. JOSEPH, D.O. MEDICAL AND WELLNESS CENTER, S.C.

Practice address

1809 Sheridan Road
North Chicago, IL 60064

Phone

(773) 354-1475

Fax

(773) 857-0265

NPI assigned

Dec 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James A Joseph, D.O.

Title

President

Phone

(773) 354-1475

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1689977050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN ROAD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "773-354-1475",
            "fax_number": "773-857-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN ROAD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "773-354-1475",
            "fax_number": "773-857-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. JOSEPH, D.O. MEDICAL AND WELLNESS CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-354-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036102939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Jagodzinski, M.S.
• James a Lovell Federal Health Care Center
• James a Lovell Federal Health Care Center
• James a Lovell FHCC (DoD GREAT LAKES BURKEY MALL ePhcy)
• James a Lovell FHCC (DoD GREAT LAKES NH ePhcy)
• Stephanie Erin James, M.S.W.
• Holly Lynn Jamieson, LPN
• Kaylee Jamison
• Vemana Jampala, M. D.
• Nisha Jani, R.PH

• Family Medicine Physician in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.