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

Katherine Louise Wagner, PA-C

Individual provider Physician Assistant · NPI 1508587148

Katherine Louise Wagner, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
4
Licensed in
IL, IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 — (877) 632-6637

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009268 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 10004739A (IN)

Record details

NPI number1508587148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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