{"npi":"1871089136","type":"NPI-1","status":"active","name":{"display":"Dr. Ellen Wagner MD","other":[],"first":"ELLEN","last":"WAGNER","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"IL","license":"125.071819"}]},"addresses":[{"purpose":"LOCATION","street_1":"5841 S MARYLAND AVE # MC8016","city":"CHICAGO","state":"IL","postal_code":"606371443","country_code":"US","phone":"7737026435"},{"purpose":"MAILING","street_1":"180 HARVESTER DR STE 110","city":"BURR RIDGE","state":"IL","postal_code":"605276686","country_code":"US","phone":"7737021150"}],"license":{"state":"IL","number":"125.071819"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180801000712","type_code":"33-37","type_desc":"ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE","state":"IL","pac_id":"8527316900"}]},"enumeration_date":"2018-07-10","last_updated":"2018-07-10","_meta":{"source":"NPPES","snapshot_date":"2018-07-10","doc_url":"https://findmynpi.com/api"}}