Wagner, Adrian

Wagner, Adrian is an individual health care provider with primary practice located at 20060 Governors Dr , Olympia Fields IL 60461-1029. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagner, Adrian can be contacted via phone (708) 283-1789.

Contact Information

Primary practice address
20060 Governors Dr Olympia Fields IL 60461-1029
Phone: (708) 283-1789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.017317 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 031554-1 New York

Profile Details

NPI number 1639302995
LBN Legal business name Wagner, Adrian
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated Sep 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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