Individual provider · Type 1 NPI

Heidi Wagner

Family Nurse Practitioner · Willowbrook, IL

NPI number 1447702147 Active

Practice location

545 Plainfield Rd Ste G-1
Willowbrook, IL 60527-7600

Call (708) 405-8025 Map

Fax (763) 205-9350

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014217 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1447702147

Heidi Wagner's National Provider Identifier is 1447702147, issued on Oct 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willowbrook, IL. The record was last updated on Jan 31, 2024.