Search › Illinois › Speech-Language Pathologist
Jacqueline Wagner, M.S., CCC-SLP/L
NPI 1104131648 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1640 N Wells St
Suite 103
Chicago, IL 60614 - Phone
- (312) 642-4300
- Organisation at this address
- Gina L. Tambornini Dds Inc
Oak Tree Developmental Center
Accelerated Rehabilitation Centers, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Speech-Language Pathologist
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-09
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