JASON MICHAEL VAWTER

CHICAGO, IL
NPI1396369328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA65890)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
363A00000X Physician Assistant
(Licence: IL  085009029)
Enumeration Date2020-06-05
Last Update Date2025-04-08
Business Address
JASON MICHAEL VAWTER
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-1851
Mailing Address
JASON MICHAEL VAWTER
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: