Andrew F Wagner, MD
Obstetrics & Gynecology in Chicago, IL. Individual provider (NPI-1).
NPI number1528036985
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1528036985
- Entity type
- Individual (NPI-1)
- Name
- Andrew F Wagner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2006
- Last updated
- Jun 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036141407 | IL | Yes |
| 207SG0201X | Medical Genetics, Clinical Genetics (M.D.) | 036141407 | IL |
Practice location
675 N Saint Clair StGalter 14-200
Chicago, IL 60611-5975
Phone 312-695-7269
Mailing address
675 N Saint Clair St Ste 14-200Chicago, IL 60611-5966
Phone 312-472-4151 · Fax 312-472-4564
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