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JACQUELINE WAGNER M.S., CCC-SLP/L
NPI 1104131648
Speech-Language Pathologist in Chicago, IL

Active since August 09, 2010
1640 N WELLS ST, SUITE 103, CHICAGO, IL 60614(312) 642-4300 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Wagner M.s., Ccc-slp/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE WAGNER M.S., CCC-SLP/L (NPI 1104131648) is an individual speech-language pathologist provider in Chicago, Illinois, licensed in Illinois (146009849) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104131648
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELINE WAGNERCredential: M.S., CCC-SLP/L
Location Address1640 N WELLS ST, SUITE 103Chicago, IL 60614-6087
Mailing Address1640 N Wells St, Suite 103Chicago, IL 60614-6087 · (312) 642-4300
Phone(312) 642-4300
Sole ProprietorYes
Enumeration DateAugust 9, 2010
✔ NPI 1104131648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146009849
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1640 N WELLS ST, Chicago, IL 60614
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JENNIFER LYNN REITER M.S. CCC-SLP/L
Speech-Language Pathologist
1640 N WELLS ST, SUITE 103
CHICAGO, IL 60614
Cook County (312) 642-4300
ACCELERATED REHABILITATION CENTERS, LTD
Physical Therapist
1640 N WELLS ST, #105
CHICAGO, IL 60614
Cook County (312) 642-8114
ELIZABETH HUTCHISON MOT, OTR/L
Occupational Therapist
1640 N WELLS ST, SUITE 103
CHICAGO, IL 60614
Cook County (312) 642-4300
DR. ROBERT E. LOPEZ O.D.
Optometrist
1640 N WELLS ST, SUITE 101
CHICAGO, IL 60614
Cook County (312) 255-1977
KATHERINE ELIZABETH REYNOLDS CCC-SLP
Speech-Language Pathologist
1640 N WELLS ST, SUITE 103
CHICAGO, IL 60614
Cook County (312) 642-4300
DR. JAMES ANTHONY STEIN D.D.S.
Dentist
1640 N WELLS ST, SUITE 205
CHICAGO, IL 60614
Cook County (312) 642-4217
MELISSA A MUELLER PT
Physical Therapist
1640 N WELLS ST, SUITE 105
CHICAGO, IL 60614
Cook County (312) 642-8114
DR. MICHAEL ABURANO D.D.S.
Dentist (General Practice)
1640 N WELLS ST, SUITE 205
CHICAGO, IL 60614
Cook County (312) 642-8966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Wagner's NPI number?

The NPI number for Jacqueline Wagner is 1104131648. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Jacqueline Wagner located?

Jacqueline Wagner practices at 1640 N Wells St Suite 103, Chicago, IL 60614. The listed phone number is (312) 642-4300.

What is Jacqueline Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wagner was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.