Search › Illinois › 207Q00000X
Christopher Wagoner, MD
NPI 1750583506 · on the registry since 2007
Practice
- Address
- 5213 Godfrey Rd Ste 110
Godfrey, IL 62035 - Phone
- (618) 619-3330
- Fax
- (618) 619-3385
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-11
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