Andrew F Wagner
Obstetrician & Gynecologist Clinical Genetics (M.D.)
675 N Saint Clair St Galter 14-200
Chicago
, Illinois 60611-5975
Andrew F Wagner
Obstetrician & Gynecologist Clinical Genetics (M.D.)
675 N Saint Clair St Galter 14-200
Chicago
, Illinois 60611-5975
(312) 472-4564
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Andrew F Wagner
- 675 N Saint Clair St Ste 14-200
- Chicago, IL
- Zip : 60611-5966
- Fax : (312) 472-4564
- Phone : (312) 472-4151
Second Address
- Andrew F Wagner
- 675 N Saint Clair St Galter 14-200
- Chicago, IL
- Zip : 60611-5975
- Phone : (312) 695-7269
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 036141407 | IL |
| Y | 207V00000X | Obstetrician & Gynecologist | 036141407 | IL |
National Provider Identifier
| NPI | 1528036985 |
|---|---|
| Provider Name | Andrew F Wagner |
| First Address | Chicago, IL 60611-5966 |
| Second Address | Chicago, IL 60611-5975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 04/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.