Heidi Wagner
NPI #1447702147 in Willowbrook, Illinois
Provider Information
- NPI Number
- 1447702147
- Entity Type
- Individual
- Name
- Heidi Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 28, 2016
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 545 PLAINFIELD RD STE G-1
- City
- Willowbrook
- State
- Illinois
- ZIP Code
- 60527-7600
- Phone
- (708) 405-8025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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