BREANNA WENNBERG MD
NPI 1851080683
Student in an Organized Health Care Education/Training Program in Kankakee, IL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 08, 2023

350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Breanna Wennberg Md NPPES

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

BREANNA WENNBERG MD (NPI 1851080683) is an individual student in an organized health care education/training program in Kankakee, Illinois and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1851080683

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBREANNA WENNBERGCredential: MD

Location Address350 N WALL STKankakee, IL 60901-2901

Mailing Address350 N Wall StKankakee, IL 60901-2901 · (815) 933-1671

Phone(815) 933-1671

Sole ProprietorNo

Enumeration DateMay 8, 2023

NPPES CertifiedMay 6, 2023

✔ NPI 1851080683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

350 N WALL ST, Kankakee, IL 60901

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