PAULA J WAGNER

CHICAGO, IL
NPI1124331152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209008086)
Enumeration Date2010-07-19
Last Update Date2019-01-27
Business Address
PAULA J WAGNER APN
6150 N BROADWAY ST
CHICAGO, IL 60660
Phone number: 866-389-2727
Mailing Address
PAULA J WAGNER APN
6150 N BROADWAY ST
CHICAGO, IL 60660-2538
Phone number: 866-389-2727
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