DR. Jacob Daniel Wengert, DC, FNP

NPI #1689097768 in Breese, Illinois

Provider Information

NPI Number: 1689097768
Entity Type: Individual
Name: DR. Jacob Daniel Wengert, DC, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: DC, FNP
Enumeration Date: Jan 27, 2014
Last Updated: Oct 3, 2023

Practice Location

Address: 9515 HOLY CROSS LN STE 175
City: Breese
State: Illinois
ZIP Code: 62230-3618
Phone: (618) 526-8430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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