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

Mr. Steven Lyle Wagner

Individual provider Pharmacist · NPI 1679460778

Mr. Steven Lyle Wagner is a Pharmacist in Washington Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1833 Kingshighway
Washington Park, IL 62204
Phone: (618) 874-3000
Fax: (618) 674-3103
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051031829 (IL)

Record details

NPI number1679460778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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