Search › Illinois › 172A00000X
Bonnie Wagner
NPI 1326214362 · on the registry since 2008 · sole proprietor
Practice
- Address
- 112 W Delaware St
Apt.212
Fairfield, IL 62837 - Phone
- (618) 842-4151
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Female
- Record last updated
- 2008-04-30
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