PAULA J WAGNER APN
NPI 1124331152
Nurse Practitioner - Family in Chicago, IL

Active since July 19, 2010
6150 N BROADWAY ST, CHICAGO, IL 60660(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2019, Jul 5, 2018 (2 updates tracked since 2018).

About Paula J Wagner Apn NPPES

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

PAULA J WAGNER APN (NPI 1124331152) is an individual family provider in Chicago, Illinois, licensed in Illinois (209008086) and active in the NPI registry since July 2010. She maintains a secondary practice location in Mokena.

NPPES Registry Identity

NPI1124331152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA J WAGNERCredential: APN
Location Address6150 N BROADWAY STChicago, IL 60660
Mailing Address6150 N Broadway StChicago, IL 60660-2538 · (866) 389-2727
Sole ProprietorNo
Enumeration DateJuly 19, 2010
Last NPPES UpdateJanuary 27, 20192 updates tracked since enumeration
NPI 1124331152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209008086
6150 N BROADWAY ST, Chicago, IL 60660

Secondary Practice Location 1

Location 111200 Lincoln HwyMokena, IL 60448-8208 · Phone (312) 343-1398

Other Providers at the Same Location NPPES 8

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

Pharmacist
6150 N BROADWAY ST
CHICAGO, IL 60660
Pharmacist
6150 N BROADWAY ST
CHICAGO, IL 60660
Nurse Practitioner (Family)
6150 N BROADWAY ST
CHICAGO, IL 60660
Nurse Practitioner (Family)
6150 N BROADWAY ST
CHICAGO, IL 60660
Pharmacy
6150 N BROADWAY ST
CHICAGO, IL 60660
Pharmacist
6150 N BROADWAY ST
CHICAGO, IL 60660
Nurse Practitioner (Family)
6150 N BROADWAY ST
CHICAGO, IL 60660
Nurse Practitioner (Family)
6150 N BROADWAY ST
CHICAGO, IL 60660

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 Paula Wagner's NPI number?

The NPI number for Paula Wagner is 1124331152. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Paula Wagner located?

Paula Wagner practices at 6150 N Broadway St, Chicago, IL 60660. The listed phone number is (866) 389-2727.

What is Paula Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Paula Wagner was last updated on January 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.