Individual
MR. JUSTIN VRAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
1447 W CORNELIA AVE, APT 1, CHICAGO, IL 60657-1326
(847) 530-1774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004336
IL
Other
Enumeration date
12/27/2012
Last updated
07/31/2013
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