ERMIL WAGNER

ROUND LAKE BEACH, IL
NPI1922193028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036082201)
Enumeration Date2006-10-04
Last Update Date2018-01-25
Business Address
ERMIL WAGNER
2 E ROLLINS RD SUITE 103
ROUND LAKE BEACH, IL 60073-3808
Phone number: 847-740-4300
Mailing Address
ERMIL WAGNER
731 S IL ROUTE 21 STE 120
GURNEE, IL 60031-3803
Phone number:
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