James Judge, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36058912 Issued in IL

Practice address

2160 S First Ave
( 1211 Roosevelt Rd., Maywood, Il. 60153)
Maywood, IL 60153

Phone

(708) 531-5200

Fax

(708) 531-5201

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1811977408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "( 1211 ROOSEVELT RD., MAYWOOD, IL. 60153)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-531-5200",
            "fax_number": "708-531-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "( 1211 ROOSEVELT RD., MAYWOOD, IL. 60153)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-531-5200",
            "fax_number": "708-531-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36058912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36058912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Joseph
• Neeraj Joshi
• Saumya Rakesh Joshi
• Nicolas Kevin Jozefowski
• Amal Jubran, MD
• Eevin Elizabeth Judkins, APN
• Linda J Juretschke, PHD, APN/NNP-BC
• Adam Scott Kabaker, M.D.
• Naji Omar Kabbani, DO
• Julianna Godwin Kacheris, MD

• Family Medicine Physician in Maywood, IL
• Providers in Maywood, 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 Jul 28, 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.

Verify at the official NPI Registry.