Drs Wagner-Debre Associates Sc
NPI #1841474574 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1841474574
- Entity Type
- Organization
- Organization Name
- Drs Wagner-Debre Associates Sc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 29, 2009
Practice Location
- Address
- 9830 RIDGELAND AVE
- Address 2
- SUITE 101
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-2667
- Phone
- (708) 423-3800
Authorized Official
- Name
- MICHAEL W DEBRE, M.D.
- Title
- SOLE OWNER (PRESIDENT)
- Phone
- (708) 423-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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