Michael Paul Wagner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.010967 Issued in IL

Practice address

544E. North Ave
Glendale Heights, IL 60139

Phone

(630) 534-5400

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexandria Physical Medicine P.S.C.

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, KY
  • NPI 1053741744

  Chiropractor

  Medicare reassignment NPD Authorized official
• Center for Intergrative Health, SC

  • Chiropractor
  • Glenview, IL
  • NPI 1982920815
  NPD (past)
• Illinois Multi-Med SC

  • Specialist
  • Glenview, IL
  • NPI 1851465587

  Chiropractor

  NPD (past)
• Physiomed, SC

  • Specialist
  • St Charles, IL
  • NPI 1962599332

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1619159084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 NORTH AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393119",
            "telephone_number": "630-534-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544E. NORTH AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "60139",
            "telephone_number": "630-534-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turner Chiropractic & Rehab Center, PC
• John David Turner, D.C.
• Vancar Essentials LLC
• Estefania Vela Pinto, MD
• Veeral Vyas, PHARMD
• Mohamed S Waheed, DDS
• Walgreen Co (Walgreens #04612)
• Anna Warchalowska, DN
• Ifraj Daarina Watts, OTR/L, MPH
• Timothy R White, MD

• Chiropractor in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.