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Contact Information

JAMES CHAMBLISS, MD, MPH
1747 W ROOSEVELT RD
CHICAGO, IL60608-1264
 Phone: 312-996-9035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JAMES CHAMBLISS · (Male)

NPI # 1619538352
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 06/24/2019
Last updated 10/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R-11695
  • IL License # 036.160948
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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