KATHERINE LOUISE WAGNER

CHICAGO, IL
NPI1508587148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009268)
Enumeration Date2022-09-12
Last Update Date2024-12-17
Business Address
KATHERINE LOUISE WAGNER PA-C
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Mailing Address
KATHERINE LOUISE WAGNER PA-C
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-4861
Phone number: 877-632-6637