| NPI | 1760577555 |
|---|---|
| Doing Business As | JAMES STREET FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STACY GRECO Payer Enrollment Manager 223-341-8516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-11-21 |