NPI 1669595872

Darrel Waggoner

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

Practice location

Address: 5841 S Maryland Ave, Chicago, IL 60637-1443
Phone: (888) 824-0200
Mailing address: 150 Harvester Dr Suite 300, Burr Ridge, IL 60527-5919

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 036090276 (IL)

Other Medical Genetics providers in Illinois →

Registry record

NPI: 1669595872
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2007
Record last updated: 24 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.