Individual provider · Type 1 NPI

Darrel Waggoner

Clinical Genetics (M.D.) Physician · Chicago, IL

NPI number 1669595872 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician Primary 207SG0201X036090276 (IL)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1669595872

Darrel Waggoner's National Provider Identifier is 1669595872, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.