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
Phone: (312) 695-7269
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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