IndividualActive
Annette Wagner, MD
NPI 1477515807 · Pediatric Dermatology Physician · Westchester, IL
Provider details
- NPI number
- 1477515807
- Entity type
- Individual
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036089005 (IL)
Practice location
2301 Enterprise Drive
#81
Westchester, IL 60154
Phone: (708) 836-4800
Fax: (708) 836-4805
Mailing address
2300 Children'S Plaza
Chicago, IL 60614
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2011-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.