Individual
MR. JASON J GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1530 N RANDALL RD STE 210, ELGIN, IL 60123-7879
(224) 760-7322
(224) 535-8252
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 858-4106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.002376
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063955
NCCPA
—
Enumeration date
11/15/2006
Last updated
11/07/2018
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