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Jon Wagnon, D.O
NPI 1265623268 · on the registry since 2007
Practice
- Address
- 1368 Dadrian Professional Park
Godfrey, IL 62035 - Phone
- (618) 433-9701
- Fax
- (618) 433-9706
- Organisation at this address
- Optimal Health Medicine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Family Medicine Physician
Family Medicine Physician - Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois