Individual
DR. CHRISTOPHER MICHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 283-5500
(708) 684-2014
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-157666
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.157666
IL
Other
Enumeration date
03/24/2019
Last updated
06/20/2025
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