Individual
DR. BRIAN P RAGONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036069543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069543
—
IL
01
—
09919564
BLUECROSSBLUESHIELD OF IL
IL
01
—
110097513
RAILROAD MEDICARE
IL
Enumeration date
06/23/2005
Last updated
08/17/2023
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