Individual
DR. JASON BOHM WALDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 WAUKEGAN RD STE 700, LAKE BLUFF, IL 60044-1614
(847) 433-2620
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 433-8727
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.134256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125058305
STATE OF ILLINOIS MEDICAL LICENSE NUMBER
IL
Enumeration date
07/12/2010
Last updated
03/03/2021
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