Individual
GARY M TRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Mailing address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053040
IL
207RI0200X
Infectious Disease Physician
036053040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053040
—
IL
Enumeration date
06/11/2006
Last updated
07/06/2016
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