ROBERT WAGNER

MAYWOOD, IL
NPI1154308039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085N0904X 
(Licence: IL  36071977)
Enumeration Date2005-12-30
Last Update Date2021-04-23
Business Address
ROBERT WAGNER MD
2160 S 1ST AVE (MCGAW ENT., RM 47)
MAYWOOD, IL 60153
Phone number: 708-216-5221
Mailing Address
ROBERT WAGNER MD
2160 S 1ST AVE (MCGAW ENT., RM 47)
MAYWOOD, IL 60153
Phone number: 708-216-5221
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