Tanya Wagner, FNP-C

NPI 1043091861 · on the registry since 2023 · sole proprietor

Practice

Address: 200 E 75th St Ste 200
Chicago, IL 60619
Phone: (872) 231-4100
Organisation at this address: Jbl Group
Spp Management Llc
Evolving Community Centers
Evolving Community Centers
Evolving Community Centers
Inferred from a shared address, not stated in the registry.

Additional practice sites

8950 S Cottage Grove Ave, Chicago, IL

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois