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Individual

JAMES RAGUE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6340
Mailing address
225 E CHICAGO AVE # 24, CHICAGO, IL 60611-2991

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
036.151655
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2015
Last updated
02/03/2023
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