Lauren E. Wagner, M.d., S.c.

NPI 1023150919 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023150919
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAUREN E LAUREN
Position PRESIDENT
Phone (312) 255-8111
Fax
Practice Location
333 E ONTARIO ST
SUITE #3303B
CHICAGO IL, 60611-4804, US
Phone (312) 255-8111
Fax
Business Location
333 E ONTARIO ST
SUITE #3303B
CHICAGO IL, 60611-4804, US
Phone (312) 255-8111
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Lauren E. Wagner, M.d., S.c. NPI is 1023150919, taxonomy code is 2084P0800X Lauren E. Wagner, M.d., S.c. physically located at 333 E Ontario St, Chicago IL, 60611-4804. NPI Number 1033115704 has the healthcare provider type.

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1023150919 NPI number is provided on an as is basis without warranty of any kind. 1023150919 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren E. Wagner, M.d., S.c. are for informational purposes only.