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Amy Elizabeth Wagenaar

Anesthesiology in Chicago, IL. Individual provider (NPI-1).

NPI number1861997553
StatusActive
Last updated in NPPESDec 1, 2023

Details

NPI
1861997553
Entity type
Individual (NPI-1)
Name
Amy Elizabeth Wagenaar
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2018
Certification date
Dec 1, 2023
Last updated
Dec 1, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - ANESTHESIOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology036.164097ILYes
207L00000X Anesthesiology164097IL

Practice location

251 E Huron St
Chicago, IL 60611-2908

Phone 312-926-2000

Mailing address

251 E Huron St
Chicago, IL 60611-2908

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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