Search › Illinois › 183500000X
Matthew Wagner, PHARMD
NPI 1316140312 · on the registry since 2007
Practice
- Address
- 3240 Chicago Rd
South Chicago Heights, IL 60411 - Phone
- (708) 756-7775
- Organisation at this address
- American Drug Stores Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-14
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