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Jack Wagoner, MD
Surgery Physician in Sycamore, Illinois
NPI 1518979665

Jack Wagoner is a Surgery Physician based in Sycamore, IL. Jack Wagoner practices in Sycamore, IL and has the professional credentials of MD. The NPI Number for Jack Wagoner is 1518979665 and holds a License No. 036-100314 (Illinois).

The current practice location address for Jack Wagoner is 1850 Gateway Dr, Sycamore, IL and can be reached out via phone at 815-758-8671 and via fax at 815-758-5610.

Location: 1850 Gateway Dr, Sycamore, IL, 60178-3192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518979665
Provider Name
Jack Wagoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1850 Gateway Dr, Sycamore, IL, 60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5610
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
048118 01 IL HEALTH ALLIANCE
036100314 05 IL
institution
Provider Business Practice Location Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5610
person
Provider Business Mailing Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5610
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
036-100314 (Illinois)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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