JILL LOUISE WAGENBACH

PEORIA, IL
NPI1538905187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209.030316)
Enumeration Date2024-07-03
Last Update Date2024-08-19
Business Address
JILL LOUISE WAGENBACH APRN-BC, CNP
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
JILL LOUISE WAGENBACH APRN-BC, CNP
408 W WASHINGTON ST
TREMONT, IL 61568-8100
Phone number: 309-620-1167
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