Jason Michael Vawter
Jason Michael Vawter is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in California and Illinois.
- Licensed in
- CA, IL
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
240 E Huron St Ste 1-200Chicago, IL 60611-2909
Phone: (312) 503-1851
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA65890 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Physician Assistant | Taxonomy 363A00000X · Licence 085009029 (IL) |
Record details
| NPI number | 1396369328 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2020 |
| Last updated in NPPES | April 8, 2025 |
| Certification date | April 8, 2025 |
| Mailing address | 747 52nd St, Oakland, CA 94609-1809 |
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