Angela B Wagner in Chicago - Neuromusculoskeletal Medicine & Omm

Angela B Wagner - NPI 1710928270

Angela B Wagner is a Neuromusculoskeletal Medicine & Omm in Chicago, Illinois. Angela B Wagner practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Angela B Wagner is 1710928270. The last update date is 2020-08-25.

Angela B Wagner's current location address is 30 W Monroe St Ste 1200, Chicago, Illinois. You can contact this provider via phone number 8158614302 and fax number 7738668014. The mailing address for Angela B Wagner is 30 W Monroe St Ste 1200, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela B Wagner
Address 30 W Monroe St Ste 1200, Chicago, Illinois
Phone Number 8158614302
Fax Number 7738668014
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1710928270
Provider Enumeration Date 2006-06-08
Last Updated Date 2020-08-25

Provider Mailing Address Detail

Address 30 W Monroe St Ste 1200
City Chicago
State Illinois (IL)
Post Code 606032420
Phone Number 8158614302
Fax Number 7738668014

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 02002402A
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200411540C IN --
200411540 IN --

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FAQs about Angela B Wagner

What is the unique identification code assigned to Angela B Wagner by the Centers for Medicare & Medicaid Services?

The Angela B Wagner has been issued the NPI (National Provider Identifier) 1710928270. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Angela B Wagner's facilities are situated?

The facilities of Angela B Wagner are physically located at the following address: 30 W Monroe St Ste 1200, Chicago, IL, 606032420.

What is Angela B Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Angela B Wagner's specialized field of practice is Neuromusculoskeletal Medicine & Omm, and the corresponding taxonomy code that categorizes this area of specialization is 204D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710928270 to Angela B Wagner?

The Centers for Medicare & Medicaid Services originally issued the 1710928270 to Angela B Wagner on 2006-06-08.

As of what date was the information regarding Angela B Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Angela B Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-25.

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