Donna Wagner, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008880 Issued in IL

Practice address

660 N Westmoreland Rd
Lake Forest, IL 60045-1659

Phone

(847) 535-8962

Fax

(847) 535-7847

NPI assigned

Apr 6, 2007

Last updated

Mar 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1437271590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E CLARE CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679412",
            "telephone_number": "847-962-9229",
            "fax_number": "847-535-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-535-8962",
            "fax_number": "847-535-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DONNA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Voigt, PA-C
• Halle Cecilia Voos, MA, CCC-SLP
• Marianne P. Vuckovich, R.K.T.
• W Brian Ross DDS PC
• Jamie Brenna Wabich, M.D.
• Edye Lynn Wagner, RD, LDN
• Walgreen Co (Walgreens #21143)
• Walgreen Co (Walgreens #00528)
• Linda A. Walker, L.M.T.
• Fiona Christine Waller, LCSW

• Speech-Language Pathologist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.