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Individual

JEFFREY J RAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9555 GROSS POINT RD, SKOKIE, IL 60076-1356
(847) 679-3411
(847) 675-7450
Mailing address
9555 GROSS POINT RD, SKOKIE, IL 60076-1356
(847) 679-3411
(847) 675-7450

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005125
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016005125
LICENSE
IL
01
01634664
BLUE CROSS BLUE SHIELD NU
IL
01
210776
MEDICARE NUMBER
IL
Enumeration date
03/10/2006
Last updated
07/26/2011
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