Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEVEN LYLE WAGNER
Active Sole ProprietorMR. STEVEN LYLE WAGNER is a Pharmacist healthcare provider located in WASHINGTON PARK, Illinois. NPI 1679460778 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · WASHINGTON PARK, IL
Registration Details
- NPI Number
- 1679460778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2025 (1.0084673669505 yrs)
- Last Updated
- Jun 20, 2025
- License
-
051031829 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1833 KINGSHIGHWAYWASHINGTON PARK, IL, 62204Browse IL providers · Browse ZIP 62204
- Phone
- 6188743000
- Fax
- 6186743103
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in WASHINGTON PARK, IL
| Name | Credential | NPI |
|---|---|---|
| TERRY MICHAEL MADDOX | PHARM D | 1346295367 |
| MR. MICHAEL LEE SCHALTENBRAND | R.PH. | 1972542793 |
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.