Darrel Waggoner
Darrel Waggoner is a Clinical Genetics (M.D.) Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (888) 824-0200
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Specialties & licences
| Clinical Genetics (M.D.) Physician (primary) | Taxonomy 207SG0201X · Licence 036090276 (IL) |
|---|
Record details
| NPI number | 1669595872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | October 24, 2022 |
| Mailing address | 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 |
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