Individual
MS. ELAINE JANET WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6033 N SHERIDAN RD # CW04S-05, CHICAGO, IL 60660-3003
(773) 274-6827
Mailing address
6033 N SHERIDAN RD # CW04S-05, CHICAGO, IL 60660-3003
(773) 274-6827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004140
IL
Other
Enumeration date
07/16/2006
Last updated
07/21/2022
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