Individual provider · Type 1 NPI

Maximilian Wagner

Plastic Surgery Physician · Chicago, IL

NPI number 1497568943 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Call (773) 702-6302 Map

Fax (773) 702-1634

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X125.087645 (IL)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1497568943

Maximilian Wagner's National Provider Identifier is 1497568943, issued on Jan 29, 2025. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 11, 2026.