| Doctor Name: | MR. JASON TRAGER |
| NPI Number: | 1063535417 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101015367 |
| Business Practice Address: | 4309 Medical Center Drive. Suite B205 Centegra Physician Care Mchenry B205 Mchenry, IL - 60050 |
| Business Phone Number: | 8157598070 |
| Business Fax Number: | 8157594931 |
| Mailing Address: | 4309 Medical Center Drive. Suite B205, Centegra Physician Care Mchenry B205 MCHENRY |
| State: | IL |
| Postal Code: | 60050 |
| Phone Number: | 8157598070 |
| Fax Number: | 8157594931 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 12/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 5101015367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |