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Alison Rose Wagner, BS
Student in an Organized Health Care Education/Training Program in Berwyn, Illinois
NPI 1235447665

Alison Rose Wagner is a Student in an Organized Health Care Education/Training Program based in Berwyn, IL. Alison Rose Wagner practices in Berwyn, IL and has the professional credentials of BS. The NPI Number for Alison Rose Wagner is 1235447665 and holds a License No. (Illinois).

The current practice location address for Alison Rose Wagner is 6918 Windsor Ave, Berwyn, IL and can be reached out via phone at 708-745-5277 and via fax at 708-795-4834.

Location: 6918 Windsor Ave, Berwyn, IL, 60402-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235447665
Provider Name
Alison Rose Wagner
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
6918 Windsor Ave, Berwyn, IL, 60402-3334
Phone Number
708-745-5277
Fax Number
708-795-4834
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6918 Windsor Ave
City
Berwyn
State
Illinois
Zip
60402-3334
Phone Number
708-745-5277
Fax Number
708-795-4834
person
Provider Business Mailing Address Details
Address
6918 Windsor Ave
City
Berwyn
State
Illinois
Zip
60402-3334
Phone Number
708-745-5277
Fax Number
708-795-4834
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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