Wagner, John

Wagner, John is an individual health care provider with primary practice located at 251 E Huron Street , Chicago IL 60611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Wagner, John can be contacted via phone (312) 926-2000.

Contact Information

Primary practice address
251 E Huron Street Chicago IL 60611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.075694 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036164499 Illinois

Profile Details

NPI number 1114540861
LBN Legal business name Wagner, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2020
Last updated Jun 26th, 2023 - about 2 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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