Individual
DR. JASON MICHAEL RAZDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2409
Mailing address
2117 LAKE AVE APT 4, WILMETTE, IL 60091-1400
(847) 728-0492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-054580
IL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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