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BROOKE A WAGNER ST
NPI 1386885101
Speech-Language Pathologist in Morton, IL

Active since March 09, 2009
1909 N MORTON AVE, MORTON, IL 61550(309) 266-5488(309) 266-9144 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke A Wagner St NPPES

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

BROOKE A WAGNER ST (NPI 1386885101) is an individual speech-language pathologist provider in Morton, Illinois, licensed in Illinois (146009517) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1386885101
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBROOKE A WAGNERCredential: ST
Location Address1909 N MORTON AVEMorton, IL 61550-1426
Mailing Address1909 N Morton AveMorton, IL 61550-1426 · (309) 266-5488 · Fax (309) 266-9144
Phone(309) 266-5488
Fax(309) 266-9144
Sole ProprietorNo
Enumeration DateMarch 9, 2009
Last NPPES UpdateFebruary 19, 2010
✔ NPI 1386885101 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 · 146009517
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.
1909 N MORTON AVE, Morton, IL 61550
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Other Identifiers 1

Other5377460003IL · Rr Medicare

Other Providers at the Same Location NPPES 12

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

LAURA LEE LUGINBUHL SLP
Speech-Language Pathologist
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 266-5488
ASHLEY BRANDT NP
Nurse Practitioner (Family)
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 263-9124
HOLLY ELIZABETH KELSON CNP
Nurse Practitioner (Pediatrics)
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 263-9124
PROFESSIONAL THERAPY SERVICES, INC.
Physical Therapist
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 266-5488
RONALD HAKE MD
Family Medicine
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 263-9124
MIRANDA FUNK-GARRETT NP
Nurse Practitioner
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 263-9124
MRS. MICHELLE LEANN ECKHOFF PT, DPT
Physical Therapist
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 266-5488
ANGELA GOLBY DO
Family Medicine
1909 N MORTON AVE
MORTON, IL 61550
Tazewell County (309) 263-9124

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 Brooke Wagner's NPI number?

The NPI number for Brooke Wagner is 1386885101. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Where is Brooke Wagner located?

Brooke Wagner practices at 1909 N Morton Ave, Morton, IL 61550. The listed phone number is (309) 266-5488.

What is Brooke 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 Brooke Wagner was last updated on February 19, 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.