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

Maximilian Wagner

Individual provider Plastic Surgery Physician · NPI 1497568943

Maximilian Wagner is a Plastic Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-6302
Fax: (773) 702-1634
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 125.087645 (IL)

Record details

NPI number1497568943
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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