Individual
MR. JASON TRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1304
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1304
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.120271
IL
207RC0000X
Cardiovascular Disease Physician
5101015367
MI
207UN0901X
Nuclear Cardiology Physician
036.120271
IL
Other
Enumeration date
04/09/2007
Last updated
10/18/2023
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