Organization
ERMIL WAGNER, D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERMIL WAGNER (OWNER)
(847) 740-4300
Entity
Organization
Contact information
Practice address
2 E ROLLINS RD, SUITE 103, ROUND LAKE BEACH, IL 60073-3808
(847) 740-4300
Mailing address
2 E ROLLINS RD, SUITE 103, ROUND LAKE BEACH, IL 60073-3808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
02/12/2008
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