Madeline Wegener
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1003594516
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1003594516
- Entity type
- Individual (NPI-1)
- Name
- Madeline Wegener
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5841 S Maryland AveChicago, IL 60637-1443
Phone 773-702-9500
Mailing address
180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686
Phone 773-702-1150
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