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Search › Illinois › 101YP2500X

Shannon Wagner

NPI 1790520302 · on the registry since 2024

Practice

Address
11447 2nd St Ste 9a
Roscoe, IL 61073
Phone
(815) 601-4673
Organisation at this address
Maurie Steinley Pc
Hands On Health Physical Therapy Pc
Hope - Child And Family Counseling Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-09

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