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Richard W Wagoner, MD
Internal Medicine Physician in Havana, Illinois
NPI 1861458952

Richard W Wagoner is a Internal Medicine Physician based in Havana, IL. Richard W Wagoner practices in Havana, IL and has the professional credentials of MD. The NPI Number for Richard W Wagoner is 1861458952 and holds a License No. 036104579 (Illinois).

The current practice location address for Richard W Wagoner is 615 N Promenade St, Havana, IL and can be reached out via phone at 309-543-6600 and via fax at 309-543-2089.

Location: 615 N Promenade St, Havana, IL, 62644-1015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861458952
Provider Name
Richard W Wagoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
615 N Promenade St, Havana, IL, 62644-1015
Phone Number
309-543-6600
Fax Number
309-543-2089
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036104579 05 IL
institution
Provider Business Practice Location Address Details
Address
615 N Promenade St
City
Havana
State
Illinois
Zip
62644-1243
Phone Number
309-543-6600
Fax Number
309-543-2089
person
Provider Business Mailing Address Details
Address
615 N Promenade St
City
Havana
State
Illinois
Zip
62644-1243
Phone Number
309-543-6600
Fax Number
309-543-2089
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036104579 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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