CAITLYN CLARE WAGENBACH

PEORIA HEIGHTS, IL
NPI1346856846
Former NameCAITLYN CLARE HONAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-09-20
Last Update Date2024-10-22
Business Address
Mrs. CAITLYN CLARE WAGENBACH PA-C
4616 N PROSPECT RD
PEORIA HEIGHTS, IL 61616-6460
Phone number: 217-528-7541
Mailing Address
Mrs. CAITLYN CLARE WAGENBACH PA-C
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541