SearchIllinois106S00000X

James Wagner

NPI 1912597139 · on the registry since 2021 · sole proprietor

Practice

Address
111 Hickory St
Dunlap, IL 61525
Phone
(309) 357-1973

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2021-01-22

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