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Search › Illinois › 225100000X

Kyle Wagner, DPT

NPI 1386078731 · on the registry since 2013

Practice

Address
1323 W Diversey Pkwy
Chicago, IL 60614
Phone
(773) 549-2520
Fax
(773) 549-2743
Organisation at this address
Athletico Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
PA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-06

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