JACK WAGONER, M.D.
Radiology at Gateway Dr, Sycamore, IL

License number
Illinois 036-100314
Category
Radiology
Type
Surgery
Address
Address
1850 Gateway Dr, Sycamore, IL 60178
Phone
(815) 758-8671
(815) 758-5610 (Fax)
National Provider ID: 1518979665
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Jack Alan Wagoner Photo 1

Jack Alan Wagoner, Sycamore IL
Specialties:
Surgery, General Practice
Work:
Dekalb Clinic Chartered
 1850 Gateway Dr, Sycamore, IL 60178 Dekalb Clinic Chartered
 217 Franklin St, Dekalb, IL 60115
Education:
Southern Illinois University (1993)

Radiology licenses in Illinois




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