SearchIllinois103TS0200X

Samantha Wiegand, ED.S., M.S

NPI 1841919701 · on the registry since 2022

Practice

Address
707 N Smiley St
O Fallon, IL 62269
Phone
(618) 632-6391
Organisation at this address
Ofallon Ccsd 90
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 1050 Ogle Rd, O Fallon, IL

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-24

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