Individual provider · Type 1 NPI

Maribel D. Wagner

Developmental Therapist · Willowbrook, IL

NPI number 1467745596 Active

Practice location

6440 Clarendon Hills Rd
Willowbrook, IL 60527-2105

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1467745596

Maribel D. Wagner's National Provider Identifier is 1467745596, issued on May 23, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Willowbrook, IL. The record was last updated on Oct 30, 2025.