Individual
JASON W OEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 W NORTH AVE, SUITE 402, MELROSE PARK, IL 60160-1634
(708) 681-7888
(708) 681-7327
Mailing address
655 DEERFIELD RD, SUITE 100 PMB 418, DEERFIELD, IL 60015-3241
(708) 681-7888
(708) 681-7327
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002383
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085002383
STATE LICENSE
IL
Enumeration date
12/04/2006
Last updated
03/07/2023
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