person
Jenna M Raju, PA-C
Medical Physician Assistant in Woodstock, Illinois
NPI 1669883971

Jenna M Raju is a Medical Physician Assistant based in Woodstock, IL and is specialized in Medical. Jenna M Raju practices in Woodstock, IL and has the professional credentials of PA-C. The NPI Number for Jenna M Raju is 1669883971 and holds a License No. 50.004050 (Illinois).

The current practice location address for Jenna M Raju is 2000 Lake Ave, Woodstock, IL and can be reached out via phone at 815-337-7100 and via fax at 815-337-4793.

Location: 2000 Lake Ave, Woodstock, IL, 60098-7401
person
Provider Profile Details
NPI Number
1669883971
Provider Name
Jenna M Raju
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2000 Lake Ave, Woodstock, IL, 60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0103666 05 OH
institution
Provider Business Practice Location Address Details
Address
2000 Lake Ave
City
State
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider Business Mailing Address Details
Address
2000 Lake Ave
City
State
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50.004050 (Ohio)
Definition
Definition to come...
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