ERMIL WAGNER (NPI# 1922193028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922193028 |
| Entity Type | Individual |
| Full Name | ERMIL WAGNER |
| Practice Address |
2 E Rollins Rd Suite 103 Round Lake Beach IL 60073-3808 |
| Mailing Address |
731 S Il Route 21 Ste 120 Gurnee IL 60031-3803 |
| Practice Telephone | 8477404300 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036082201 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036082201 | 05 |
| Street Address |
2 E ROLLINS RD SUITE 103 |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip Code | 60073-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448542 | Lake County Acute Care, LLP | Internal Medicine | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-09-20 |
| 1700285079 | Rachel Samantha Goldberg | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2014-08-22 |
| 1861513822 | Round Lake Medical Suites | Clinic/Center | 2 E Rollins Rd, Suite 108, Round Lake Beach, IL 60073-3808 | 2007-04-03 |
| 1114076791 | Agata Oczko Danguilan Md Sc | Clinic/Center | 2 E Rollins Rd, Suite 204, Round Lake Beach, IL 60073-3808 | 2007-01-10 |
| 1457415945 | Rebecca Walker Muir Schultz | Physical Therapist | 2 E Rollins Rd, Suite 106, Round Lake Beach, IL 60073 | 2006-12-20 |
| 1285701714 | Agata Oczko-danguilan | Internal Medicine | 2 E Rollins Rd, Suite 204, Round Lake Beach, IL 60073-3808 | 2006-11-29 |
| 1487734703 | Michael Siegel | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
| 1235219551 | Stephen T Reilly | Dentist | 2 E Rollins Rd, Round Lake Beach, IL 60073-3808 | 2006-10-17 |
| 1295820314 | Ermil Wagner, D.o. P.C. | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740515253 | Family Medicine Specialists of Round Lake Incorporated S C | Family Medicine | 2680 Route 83, Round Lake Beach, IL 60073 | 2009-10-16 |
| 1023264819 | Anita Rani Bhardwaj | Family Medicine | 2540 N Il Route 83, Round Lake Beach, IL 60073-4905 | 2008-08-12 |
| 1205855178 | Robert N White | Family Medicine | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 | 2006-07-19 |
| 1598767139 | Leonard Ginzburg | Family Medicine | 19 W Rollins Rd, Round Lake Beach, IL 60073-1350 | 2005-08-12 |
| 1871910125 | Accurate Home Visiting Doctors | Family Medicine | 301 E Rollins Rd, Round Lake Beach, IL 60073-1331 | 2014-03-25 |
| 1548426919 | Claire G Urbaszewski | Family Medicine | 224 W Clarendon Dr, Round Lake Beach, IL 60073-1896 | 2008-08-05 |
| 1760656839 | Midwestern Institute of Health Ltd | Family Medicine | 19 W Rollins Rd, Round Lake Beach, IL 60073-1350 | 2008-04-18 |
| 1295820314 | Ermil Wagner, D.o. P.C. | Family Medicine | 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | ROUND LAKE BEACH |
| Zip Code | 60073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.