Dr. Ellen Wagner
MD | Pediatrics | Female
Dr. Ellen Wagner, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ellen Wagner is
5841 S Maryland Ave # Mc8016, Chicago, Illinois - 60637-1443. She can be contacted on phone at
773-702-6435.
Dr. Ellen Wagner is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Ellen Wagner is
1871089136 which was assigned by NPPES on 10 Jul, 2018 and it was last updated on 10 Jul, 2018.
Dr. Ellen Wagner license number is
125.071819 for Pediatrics (208000000X) in Illinois.
Dr. Ellen Wagner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ellen Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ellen Wagner |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Ellen Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5841 S Maryland Ave # Mc8016
Chicago, IL, 60637-1443
United States |
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| Phone Number : | 773-702-6435 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871089136 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jul, 2018 |
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| Last Updated On : | 10 Jul, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ellen Wagner are as mentioned. Primary taxonomy code for Dr. Ellen Wagner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 125.071819 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 180 Harvester Dr Ste 110
Burr Ridge, IL, 60527-6686
United States |
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| Phone Number : | 773-702-1150 |
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Business Location:
Patients can refer following map for directions to
Dr. Ellen Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.