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

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: August 16, 2026.

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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Other Providers at the Same Location NPPES 20

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

PRIT SHAH
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (617) 638-6500
SOUND PHYSICIANS OF KANKAKEE ILLINOIS, LLC
Hospitalist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MRS. KATHLEEN ANN HUBERT PTA
Physical Therapy Assistant
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7514
MEGAN L LUCAS PHARMD, MHA
Pharmacist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
TRISHA ANDREWS MD
Internal Medicine
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MUHAMMAD AFFAN KHALID
Student in an Organized Health Care Education/Training Program
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
TIPPECANOE ANESTHESIA SERVICES LLC
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7504
DR. HOWARD I ROTH M.D.
Radiology (Vascular & Interventional Radiology)
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671

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 Breanna Wennberg's NPI number?

The NPI number for Breanna Wennberg is 1851080683. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Breanna Wennberg located?

Breanna Wennberg practices at 350 N Wall St, Kankakee, IL 60901. The listed phone number is (815) 933-1671.

What is Breanna Wennberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breanna Wennberg was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.