Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER LOREN JAGGARD, MD
ActivePETER LOREN JAGGARD, MD is a Gastroenterology healthcare provider located in EVANSTON, Illinois. NPI 1639148372 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · EVANSTON, IL
Registration Details
- NPI Number
- 1639148372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2006 (20.446684583067 yrs)
- Last Updated
- Dec 14, 2015
- License
-
036062564 (IL)
Practice Information
- Address
-
3200 GRANT STEVANSTON, IL, 60201Browse IL providers · Browse ZIP 60201
- Phone
- 8474924828
- Fax
- 8474924810
- Primary Specialty
-
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.