DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW JAMES WAGNER, PHARMD

Active

DR. MATTHEW JAMES WAGNER, PHARMD is a Pharmacist healthcare provider located in SOUTH CHICAGO HEIGHTS, Illinois. NPI 1316140312 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SOUTH CHICAGO HEIGHTS, IL

Registration Details

NPI Number
1316140312
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2007 (19.167518300663 yrs)
Last Updated
Dec 14, 2012
License
051289635 (IL)

Practice Information

Address
3240 CHICAGO RD
SOUTH CHICAGO HEIGHTS, IL, 604115421
Browse IL providers · Browse ZIP 60411
Phone
7087567775
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SOUTH CHICAGO HEIGHTS, IL

Name Credential NPI
DR. MAHIR ZEGAR PHARMD 1013298066
MRS. JENNIFER LYNN BARRETT PHARMD 1114208972
KELLI OFFORD PHARMD 1033547542
SUMMUR KASSEM 1740638154
DR. CRYSTAL THRONE PHARMD 1407204803
ALEXIS OWENS 1538915954
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.