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Emily Wagner
NPI 1821333485 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3823 N Southport Ave
#2
Chicago, IL 60613 - Phone
- (773) 633-3789
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-06
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