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Individual

DR. JASON ROBERT FARRER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Mailing address
30 SEVERANCE CIR, 603, CLEVELAND HEIGHTS, OH 44118-1531
(630) 865-5158

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036128306
IL
207L00000X
Anesthesiology Physician
57.013307
OH

Other

Enumeration date
05/15/2008
Last updated
11/20/2023
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