Wagner, Andrew F

Wagner, Andrew F is an individual health care provider with primary practice located at 675 N Saint Clair St Galter 14-200, Chicago IL 60611-5975. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wagner, Andrew F can be contacted via phone (312) 695-7269.

Contact Information

Primary practice address
675 N Saint Clair St Galter 14-200 Chicago IL 60611-5975
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 036141407 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036141407 Illinois

Profile Details

NPI number 1528036985
LBN Legal business name Wagner, Andrew F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 4th, 2019 - about 5 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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