Individual provider · Type 1 NPI

Charlotte Rae Wagner, CVRT

Blind Rehabilitation Specialist/Technologist · Hines, IL

NPI number 1639800048 Active

Practice location

5000 S 5th Ave Bldg 113
Hines, IL 60141-3030

Mailing address

5000 S 5th Ave Bldg 113 Mail Stop 124
Hines, IL 60141-3030

Specialties and licenses

TaxonomyCodeLicense
Blind Rehabilitation Specialist/Technologist Primary 2255R0406X23297 (IL)

Blind Rehabilitation Specialist/Technologist: Definition to come...

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About NPI 1639800048

Charlotte Rae Wagner, CVRT's National Provider Identifier is 1639800048, issued on Jun 17, 2022. The primary taxonomy on file is Blind Rehabilitation Specialist/Technologist (2255R0406X), and the practice location is in Hines, IL. The record was last updated on Jun 17, 2022.