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DRS WAGNER-DEBRE ASSOCIATES SC NPI 1841474574


NPI Information

NPI: 1841474574
Provider Name: DRS WAGNER-DEBRE ASSOCIATES SC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
9830 RIDGELAND AVE
SUITE 101
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 423-3800
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DRS WAGNER-DEBRE ASSOCIATES SC is an internal medicine in Chicago Ridge, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DRS WAGNER-DEBRE ASSOCIATES SC NPI is 1841474574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9830 RIDGELAND AVE
SUITE 101
CHICAGO RIDGE, IL
ZIP 60415-667
Phone: (708) 423-3800

The provider's authorized official is Michael W Debre .
The authorized official title is SOLE OWNER (PRESIDENT)(president) and has the following contact phone number (708) 423-3800.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 12/29/2009.


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
1207R00000XInternal Medicine036053268ILLINOISYes

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
1D13815MEDICARE UPINILLINOIS
2606500MEDICARE PINILLINOIS
336053268MEDICAIDILLINOIS

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: 5/5/2024

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