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Darrel Waggoner

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NPI Number Detailed Information

Provider Information:

Name: Darrel Waggoner
Gender: M
Provider License Number If Given: 36090276

NPI Information:

NPI: 1669595872
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/10/2007

Last Update Date: 4/23/2014

Provider Business Mailing Address:

Address: 180 HARVESTER DR SUITE 110
Burr Ridge, IL 60527
Phone Number: 7738341061
Fax Number: 7738340946

Provider Business Practice Location Address:

Address: 5841 S MARYLAND AVE MC 0077 ROOM O-500
Chicago, IL 60637
Phone Number: 7738349110
Fax Number: 7738340556

Provider Taxonomy:

Primary: 207SG0201X
Secondary (if any):
State: IL

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About Darrel Waggoner

Darrel Waggoner ( DARREL WAGGONER ) is A Medical Genetics Physician in Chicago, IL. The NPI Number for Darrel Waggoner is 1669595872.
The current location address for Darrel Waggoner is 5841 S MARYLAND AVE MC 0077 ROOM O-500 Chicago, IL 60637 and the contact number is 7738341061 and fax number is 7738340946. The mailing address for Darrel Waggoner is 180 HARVESTER DR SUITE 110 Burr Ridge, IL 60527- 7738349110 (mailing address contact number - 7738341061).
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Provider Business Location on Map

FAQs:

What is the NPI Number for Darrel Waggoner ?


Answer: The NPI Number for Darrel Waggoner is 1669595872

Where is Darrel Waggoner located?


Answer: Darrel Waggoner is located at 5841 S MARYLAND AVE MC 0077 ROOM O-500 Chicago, IL 60637.

What is the specialty for Darrel Waggoner ?


Answer: The Specialty of Darrel Waggoner is A Medical Genetics Physician.

Are there any online reviews for Darrel Waggoner ?


Answer: Not yet!

Are there any other health care providers in Chicago, IL?


Answer: Yes, there are given below...

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