Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Elizabeth Wagenaar

Individual provider Anesthesiology Physician · NPI 1861997553

Amy Elizabeth Wagenaar is an Anesthesiology in Chicago, Illinois. Graduated from University of Miami, Lm Miller School of Medicine in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

251 E Huron St
Chicago, IL 60611-2908
Phone: (312) 926-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036.164097 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 164097 (IL)

Record details

NPI number1861997553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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