ARCHANA WAGLE M D A PROFESSIONAL CORPORATION
NPI 1720303605
Pain Medicine - Interventional Pain Medicine in Moline, IL

Q: What is Archana Wagle M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since April 02, 2010

500 JOHN DEERE RD, MOLINE, IL 61265(309) 779-5000 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Archana Wagle M D A Professional Corporation NPPES

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

ARCHANA WAGLE M D A PROFESSIONAL CORPORATION (NPI 1720303605) is a healthcare organization registered as an interventional pain medicine in Moline, Illinois and active in the NPI registry since April 2010. The organization lists Archana Wagle, Owner, as its authorized official.

NPPES Registry Identity

NPI1720303605

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameARCHANA WAGLE M D A PROFESSIONAL CORPORATION

Location Address500 JOHN DEERE RDMoline, IL 61265-6892

Mailing Address925 Sherwood DrLake Bluff, IL 60044-2203 · (847) 615-2200 · Fax (847) 615-2858

Phone(309) 779-5000

Organization SubpartNo

Authorized OfficialArchana WagleOwner · (847) 615-2200

Enumeration DateApril 2, 2010

Last NPPES UpdateJuly 15, 2010

✔ NPI 1720303605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in IL · 036100676

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 036100676 (IL)

500 JOHN DEERE RD, Moline, IL 61265

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Other Identifiers 2

Medicaid036100676IL

Medicare UPING09301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 19

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

STEPHANIE ANN SCHRADEYA

Specialist/Technologist, Other (Surgical Assistant)