Individual
MICHAEL CAREY RAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 N LINDEN ST APT M207, NORMAL, IL 61761-5347
(773) 319-9161
Mailing address
2000 N LINDEN ST APT M207, NORMAL, IL 61761-5347
(773) 319-9161
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041437800
IL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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