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Theodore G James Mdsc

Family Medicine Physician in Blue Island, IL · enumerated 2007 · authorized official Kim Wylie, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962603837

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Registry record

Entity type Organization (Type 2)
Legal business name Theodore G James Mdsc
Practice address 13000 Maple Ave, Blue Island, IL, 60406
Phone (708) 799-8440
Enumeration date May 30, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kim Wylie
Title Office Manager
Phone (708) 799-8440

Other identifiers

Identifier Type State Issuer
1626986 Other IL BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Theodore G James Mdsc?
NPPES lists Kim Wylie (Office Manager) as the authorized official for this organization.
What is the NPI number for Theodore G James Mdsc?
The NPI for Theodore G James Mdsc is 1962603837, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.