SAMINA M WAGGONER M.D. NPI 1750350948

NPI Information

  • NPI: 1750350948
  • Provider Name: SAMINA M WAGGONER, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 718 GLENVIEW AVE
    HIGHLAND PARK HOSPITAL
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 480-2833

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NPI Details

Samina M Waggoner, M.D. is a pediatrics in Highland Park, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Samina M Waggoner, M.D. NPI is 1750350948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

718 GLENVIEW AVE
HIGHLAND PARK HOSPITAL
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 480-2833
Fax: (847) 480-2675

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036112866ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021622158OTHERILLINOISGROUP BLUE SHIELD NUMBER
2702730MEDICARE ID-TYPE UNSPECIFIEDILLINOISILLINOIS GROUP MEDCR NUM
3036112866MEDICAIDILLINOIS
4K23311MEDICARE PINILLINOIS
5I39913MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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