IndividualActive
Alan Wagner, M.D.
NPI 1497701684 · Diagnostic Radiology Physician · Rockford, IL
Provider details
- NPI number
- 1497701684
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 36-099687 (IL)
Practice location
3849 N Perryville Rd
Rockford, IL 61114-8080
Phone: (815) 397-5554
Fax: (866) 914-7534
Mailing address
3849 N Perryville Rd
Rockford, IL 61114-8080
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2011-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.