Search › Illinois › 367500000X
Stephen Wagner, CRNA
NPI 1669432415 · on the registry since 2006
Practice
- Address
- 701 N Ist St
Springfield, IL 62781 - Phone
- (217) 788-3754
- Fax
- (217) 788-7071
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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