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BRIAN WAGENAAR M.D.
NPI 1669714234
Internal Medicine in Chicago, IL

Active since March 21, 2013
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Aug 26, 2016 (2 updates tracked since 2016).

About Brian Wagenaar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN WAGENAAR M.D. (NPI 1669714234) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036141019) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1669714234
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN WAGENAARCredential: M.D.
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address820 S Damen AveChicago, IL 60612-3728 · (312) 569-8387
Phone(312) 569-8387
Sole ProprietorNo
Enumeration DateMarch 21, 2013
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1669714234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036141019
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036141019 (IL)
820 S DAMEN AVE, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wagenaar's NPI number?

The NPI number for Brian Wagenaar is 1669714234. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Brian Wagenaar located?

Brian Wagenaar practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Brian Wagenaar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Brian Wagenaar was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.