Jamie Gradishar

NPI # 

Practice Address:

1127 N Oakley Blvd Fl 2

Chicago, IL, 60622-3507

Practice Phone:

312-633-5841

License Number:

085.011104

License State:

IL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Physician Assistant

Taxonomy Specialization:

Medical

Taxonomy Code:

363AM0700X

Updated by NPPES on 7/8/2025. You can view the original data set for NPI # 1700668829 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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