Individual
JEREMIAH WASSERLAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076-5080
(847) 864-3278
(847) 676-1727
Mailing address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076-5080
(847) 864-3278
(847) 676-1727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036134026
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036134026
IL
Other
Enumeration date
06/21/2011
Last updated
04/05/2023
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