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Robert Wagner, MD
Nuclear Radiology Physician in Maywood, Illinois
NPI 1154308039

Robert Wagner is a Nuclear Radiology Physician based in Maywood, IL and is specialized in Nuclear Radiology. Robert Wagner practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Robert Wagner is 1154308039 and holds a License No. 36071977 (Illinois).

The current practice location address for Robert Wagner is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-5221 and via fax at 708-216-0899.

Location: 2160 S 1St Ave, Maywood, IL, 60153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154308039
Provider Name
Robert Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153
Phone Number
708-216-5221
Fax Number
708-216-0899
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36071977 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-216-5221
Fax Number
708-216-0899
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-216-5221
Fax Number
708-216-0899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
36071977 (Illinois)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
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