Provider Demographics
NPI:1285071126
Name:VAGTS, CHRISTEN L (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:L
Last Name:VAGTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S WOOD ST. (MC719)
Mailing Address - Street 2:ROOM 920N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-996-8039
Mailing Address - Fax:
Practice Address - Street 1:1200 EAST. BROAD ST.
Practice Address - Street 2:PO BOX 980509
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-9726
Practice Address - Fax:804-828-4926
Is Sole Proprietor?:No
Enumeration Date:2013-06-02
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.145825207R00000X
VA0101259194207R00000X
VA390200000X
IL036145825207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program