Individual
DR. JEFFREY A WASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(724) 516-4472
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.146889
IL
207P00000X
Emergency Medicine Physician
036146889
IL
207P00000X
Emergency Medicine Physician
OS016123
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036146889
IL LICENSE
IL
05
—
102865216
—
PA
Enumeration date
04/16/2010
Last updated
01/08/2024
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