Peter Loren Jaggard in Evanston - Geriatric Medicine
Peter Loren Jaggard - NPI 1639148372
Peter Loren Jaggard is a Geriatric Medicine in Evanston, Illinois. Peter Loren Jaggard practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Peter Loren Jaggard is 1639148372. The last update date is 2015-12-14.
Peter Loren Jaggard's current location address is 3200 Grant St, Evanston, Illinois. You can contact this provider via phone number 8474924842 and fax number 8474924829. The mailing address for Peter Loren Jaggard is 3200 Grant St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Loren Jaggard |
|---|---|
| Address | 3200 Grant St, Evanston, Illinois |
| Phone Number | 8474924842 |
| Fax Number | 8474924829 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639148372 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
| Address | 3200 Grant St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602011903 |
| Phone Number | 8474924842 |
| Fax Number | 8474924829 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 36062564 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110213053 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Loren Jaggard by the Centers for Medicare & Medicaid Services?
The Peter Loren Jaggard has been assigned the NPI (National Provider Identifier) 1639148372. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Peter Loren Jaggard is physically located?
The Peter Loren Jaggard is situated at the following address: 3200 Grant St, Evanston, IL 602011903.
What is Peter Loren Jaggard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter Loren Jaggard is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rg0300X.
When was the Peter Loren Jaggard's 1639148372 issued?
The Peter Loren Jaggard's 1639148372 was issued on 2006-03-15.
When was the information pertaining to Peter Loren Jaggard most recently updated or revised?
The details related to Peter Loren Jaggard, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-14.
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