Jaggard, Peter Loren

Jaggard, Peter Loren is an individual health care provider with primary practice located at 3200 Grant St , Evanston IL 60201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Jaggard, Peter Loren can be contacted via phone (847) 492-4828.

Contact Information

Primary practice address
3200 Grant St Evanston IL 60201
Phone: (847) 492-4828
Fax: (847) 492-4810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036062564 Illinois

Profile Details

NPI number 1639148372
LBN Legal business name Jaggard, Peter Loren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148372 NPPES
Illinois Other 110213053 RAILROAD MEDICARE

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