Organization Active NPI

Jeff Rager, DPM

  • Podiatrist
  • Highland Park, IL
National Provider Identifier
1104254333
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JEFF RAGER, DPM
Practice address
1487 Green Bay Rd
Highland Park, IL 60035-3614
Phone
(847) 894-0218
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Rager, DPM
Title
Podiatrist
Phone
(847) 894-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1487 Green Bay Rd
Highland Park, IL 60035-3614

Mailing address

PO Box 728
Highland Park, IL 60035-0728

Other identifiers 1

IdentifierTypeStateIssuer
01634664OtherILBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Jeff Rager DPM3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1104254333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600350728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 GREEN BAY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353614",
            "telephone_number": "847-894-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF RAGER, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "847-894-0218",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "01634664",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.