MEDICARE: RAMA D JAGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	036109481	IL
2	207W00000X	Ophthalmology Physician	036-109481	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992790182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMA D JAGER M.D.

Provider Business Mailing Address
First Line	:	6320 159TH ST
Second Line	:	SUITE A
City	:	OAK FOREST
State	:	IL
Zip	:	60452-2776
Country	:	US
Telephone Number	:	708-687-2222
Fax Number	:	708-687-3829

Provider Business Practice Location Address
First Line	:	6320 159TH ST
Second Line	:	SUITE A
City	:	OAK FOREST
State	:	IL
Zip	:	60452-2776
Country	:	US
Telephone Number	:	708-687-2222
Fax Number	:	708-687-3829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	06/08/2022

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Directions to “ RAMA D JAGER M.D.” Practice Location

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