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Heidi Wagner
Family Nurse Practitioner in Willowbrook, Illinois
NPI 1447702147

Heidi Wagner is a Family Nurse Practitioner based in Willowbrook, IL and is specialized in Family. Heidi Wagner practices in Willowbrook, IL. The NPI Number for Heidi Wagner is 1447702147 and holds a License No. 209014217 (Illinois).

The current practice location address for Heidi Wagner is 545 Plainfield Rd Ste G-1, Willowbrook, IL and can be reached out via phone at 708-405-8025 and via fax at 763-205-9350.

Location: 545 Plainfield Rd Ste G-1, Willowbrook, IL, 60527-7600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447702147
Provider Name
Heidi Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
545 Plainfield Rd Ste G-1, Willowbrook, IL, 60527-7600
Phone Number
708-405-8025
Fax Number
763-205-9350
Provider Enumeration Date
10/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 Plainfield Rd Ste G-1
City
Willowbrook
State
Illinois
Zip
60527-7600
Phone Number
708-405-8025
Fax Number
763-205-9350
person
Provider Business Mailing Address Details
Address
545 Plainfield Rd Ste G-1
City
Willowbrook
State
Illinois
Zip
60527-7600
Phone Number
708-405-8025
Fax Number
763-205-9350
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209014217 (Illinois)
Definition
Definition to come...
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