Jason Michael Razdik M.D.

NPI 1689823940 - Internal Medicine - 207R00000X

NPI Details
NPI 1689823940
Gender Male
Enumeration Date 09/11/2008
Last Updated 09/11/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2650 RIDGE AVE
EVANSTON IL, 60201-1718, US
Phone (847) 570-2409
Fax
Business Location
2117 LAKE AVE APT 4
WILMETTE IL, 60091-1400, US
Phone (847) 728-0492
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125-054580
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According to our database, Dr. Jason Michael Razdik M.D. NPI is 1689823940, taxonomy code is 207R00000X and license number is 125-054580, license state is located at Illinois. Jason Michael Razdik M.D. physically located at 2650 Ridge Ave, Evanston IL, 60201-1718. NPI Number Jason Michael Razdik M.D. has the Individual type.

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1689823940 NPI number is provided on an as is basis without warranty of any kind. 1689823940 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Michael Razdik M.D. are for informational purposes only.