National Provider Identifier Database

ROBERT WAGNER, MD – NPI #1154308039
Nuclear Radiology

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.


Contact Information

ROBERT WAGNER, MD
2160 S 1ST AVE
(MCGAW ENT., RM 47)
MAYWOOD, IL60153
Phone: 708-216-5221
Fax: 708-216-0899
Website:
Specialty Taxonomy Code
* Nuclear Radiology 2085N0904X

* Indicates primary specialty

NPI Profile & details for ROBERT WAGNER

NPI Number 1154308039
Credentials MD
Entity Individual
Enumeration date 12/30/2005
Last updated 04/23/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 36071977
  • IL Medicaid: 36071977
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROBERT WAGNER, MD

There are currently no reviews for ROBERT WAGNER, MD


NPIdb - Home
v2.201