Individual
DR. JASON T GARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N WESTMORELAND RD, SUITE 100, LAKE FOREST, IL 60045-1673
(847) 234-8866
(824) 234-4682
Mailing address
915 S WAUKEGAN RD STE 200, LAKE FOREST, IL 60045-2654
(224) 516-4108
(224) 516-4116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096450
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096450
—
IL
Enumeration date
11/30/2005
Last updated
09/07/2023
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