Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michael Wagner, SC

Organization Psychiatry Physician · NPI 1700122595

Michael Wagner, SC provides Psychiatry Physician services in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

650 E Diehl Rd Ste 121
Naperville, IL 60563-4801
Phone: (847) 987-5450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 042619749 (IL)

Record details

NPI number1700122595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wagner — President · (847) 987-5450
NPI enumeratedDecember 24, 2012
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address650 E Diehl Rd, Suite 121, Naperville, IL 60563-4801

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