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Search › Illinois › 1223S0112X

Wayne Wagner, DDS

NPI 1003876988 · on the registry since 2006

Practice

Address
1580 N Northwest Hwy
#300
Park Ridge, IL 60068
Phone
(847) 390-8200
Fax
(847) 390-0479
Organisation at this address
Amivo Med Llc
Amvant Med Llc
Rfmzen Med Llc
Amsora Med Llc
Dinzen Med Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
122300000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois