James R. Herron, MD, LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042002026 Issued in IL

Legal business name

JAMES R. HERRON, MD, LTD

Practice address

1030 N Clark St
Ste 647
Chicago, IL 60610-5467

Phone

(312) 291-9083

Fax

(312) 624-9183

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James R. Herron, MD

Title

President

Phone

(312) 291-9083

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1699959262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 CHESTER DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261047",
            "telephone_number": "312-291-9083",
            "fax_number": "312-624-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CLARK ST",
            "address_2": "STE 647",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105467",
            "telephone_number": "312-291-9083",
            "fax_number": "312-624-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. HERRON, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-291-9083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "042002026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047483",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James R Kolar PC (Save Rite Pharmacy)
• James R. Zullo, PH.D. P.C.
• James Schiappa MD SC
• James Searing LCSW LLC
• James West Labs LLC
• Stephane James-Magana, PHARMD

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.