Ermil Wagner, D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ERMIL WAGNER, D.O. P.C.

Practice address

2 E Rollins Rd
Suite 103
Round Lake Beach, IL 60073-3808

Phone

(847) 740-4300

NPI assigned

Oct 4, 2006

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ermil WagnerNPI 1922193028

Title

Owner

Phone

(847) 740-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ermil Wagner

  • Family Medicine Physician
  • Round Lake Beach, IL
  • NPI 1922193028
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1295820314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E ROLLINS RD",
            "address_2": "SUITE 103",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600733808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E ROLLINS RD",
            "address_2": "SUITE 103",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600733808",
            "telephone_number": "847-740-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERMIL WAGNER, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ERMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-740-4300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Illinois, PC (Dental Care of Round Lake Beach)
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• Dr. Dans Chiropractic Services
• Sharice Ellenwood
• Rebecca Ellis, DPT
• Marlene A Espinosa
• Family Medicine Specialists of Round Lake Incorporated S C
• Jennifer Farinosi, RDH
• Nicole C Fishback, RDH
• Gina Fishburn, RDH

• Family Medicine Physician in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.