CHRISTINA J WAGENER

CHICAGO, IL
NPI1033469994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209009801)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209009801)
Enumeration Date2012-09-18
Last Update Date2017-08-14
Business Address
Mrs. CHRISTINA J WAGENER APN
1541 W DEVON AVE
CHICAGO, IL 60660-1313
Phone number: 773-250-5222
Mailing Address
Mrs. CHRISTINA J WAGENER APN
213 N RACINE AVE SUITE 100
CHICAGO, IL 60607-1644
Phone number: 312-733-9730