Individual provider · Type 1 NPI
Jenna M. Raju, PA-C
Medical Physician Assistant · Woodstock, IL
NPI number
1669883971
Active
Practice location
2000 Lake Ave
Woodstock, IL 60098-7401
Fax (815) 337-4793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.004050 (OH) |
| Medical Physician Assistant Primary | 363AM0700X | 085.005791 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1669883971
Jenna M. Raju, PA-C's National Provider Identifier is 1669883971, issued on May 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodstock, IL. The record was last updated on Dec 13, 2016.