Jack Wagoner M.D.
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Overview of Jack Wagoner M.D.
- NPI number: 1598434045
- Provider type: Individual
- Gender: Male
- Active since: 08/13/2006
- Last updated: 06/11/2012
Primary Scrop of Practice
- Taxonomy Code: 208600000X
- Specialty: Surgery
- License Number: 036-100314
- License State: IL
Provider Mailing Address
- Address: 1850 Gateway DrSycamore, IL 60178
- Phone: 815-758-8671
- Fax: 815-758-5610
Provider Practice Location
- Address: 1850 Gateway DrSycamore, IL 60178
- Phone: 815-758-8671
- Fax: 815-758-5610
Scope of Practice
- Taxonomy Code: 208600000X
- Specialty: Surgery
- License Number: 036-100314
- License State: IL
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 036100314
- Identifier Type: Medicare Oscar/Certification
- Identifier State: IL
- Issuer:
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Jack Wagoner M.D.?
- A: The npi number for Jack Wagoner M.D. is 1518979665.
- Q: What are Jack Wagoner M.D.'s specialties?
- A: Jack Wagoner M.D.'s specialties are Surgery and different specialities.
- Q: What is the medical license for Jack Wagoner M.D.?
- A: The medical license number for Jack Wagoner M.D. is 036-100314 and issued in IL in USA.
- Q: Where is Jack Wagoner M.D. practice location?
- A: Jack Wagoner M.D. is practicing at 1850 Gateway Dr, Sycamore, IL 60178.
- Q: How to contact Jack Wagoner M.D.?
- A: You can contact Jack Wagoner M.D. via 815-758-8671.