Annette M Wagner in Westchester - Pediatric Dermatology
Annette M Wagner - NPI 1477515807
Annette M Wagner is a Pediatric Dermatology in Westchester, Illinois. Annette M Wagner practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Annette M Wagner is 1477515807. The last update date is 2011-09-21.
Annette M Wagner's current location address is 2301 Enterprise Drive, Westchester, Illinois. You can contact this provider via phone number 7088364800 and fax number 7088364805. The mailing address for Annette M Wagner is 2301 Enterprise Drive, Westchester, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Annette M Wagner |
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Address | 2301 Enterprise Drive, Westchester, Illinois |
Phone Number | 7088364800 |
Fax Number | 7088364805 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1477515807 |
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Provider Enumeration Date | 2006-04-03 |
Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
Address | 2301 Enterprise Drive |
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City | Westchester |
State | Illinois (IL) |
Post Code | 60154 |
Phone Number | 7088364800 |
Fax Number | 7088364805 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dermatology |
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Taxonomy | 207Np0225X |
Licence No | 36089005 |
Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36089005 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Annette M Wagner?
The Annette M Wagner has been issued the NPI (National Provider Identifier) 1477515807 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Annette M Wagner is located?
The Annette M Wagner is situated at the following address: 2301 Enterprise Drive, Westchester, IL, 60154.
What is the area of specialization for Annette M Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Annette M Wagner is Pediatric Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Np0225X.
On what date did Annette M Wagner receive its 1477515807 assignment from the Centers for Medicare & Medicaid Services?
The Annette M Wagner was assigned its 1477515807 on 2006-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Annette M Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Annette M Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-21.