Individual
DR. CHRIS D WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1713 E 55TH ST, CHICAGO, IL 60615-5988
(773) 752-5218
Mailing address
1713 E 55TH ST, CHICAGO, IL 60615-5988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38009983
IL
Other
Enumeration date
05/14/2007
Last updated
07/09/2007
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