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Mary Wagner
NPI 1376206292 · on the registry since 2021
Practice
- Address
- 407 W 63rd St
Westmont, IL 60559 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Sex
- Female
- Record last updated
- 2021-10-18
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