Jonathan Wehrenberg, MHP
Rehabilitation Practitioner in Waterloo, IL. Individual provider (NPI-1).
NPI number1982253191
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1982253191
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Wehrenberg
- Credential
- MHP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
988 N Illinois Route 3Waterloo, IL 62298-1059
Phone 618-939-4444
Mailing address
988 N Illinois Route 3Waterloo, IL 62298-1059
Phone 618-939-4444
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