Organization
JEFF RAGER, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RAGER DPM (PODIATRIST)
(847) 894-0218
Entity
Organization
Contact information
Practice address
39 S LA SALLE ST STE 617, CHICAGO, IL 60603-1624
(847) 894-0218
Mailing address
PO BOX 728, HIGHLAND PARK, IL 60035-0728
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634664
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/24/2013
Last updated
10/24/2013
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