Carolyn Wagner

LBN: Carolyn Wagner
Carolyn Wagner is an health care organization with primary practice located at 1159 Wilmette Ave Ste 225 , Wilmette IL 60091-2653. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Carolyn Wagner can be contacted via phone (847) 728-8148, or through Wagner, Carolyn via phone (847) 728-8148.

Contact Information

Primary practice address
1159 Wilmette Ave Ste 225 Wilmette IL 60091-2653
Phone: (847) 728-8148
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Carolyn
Phone: (847) 728-8148

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1164047072
LBN Legal business name Carolyn Wagner
DBA Doing business as
Authorized official Wagner, Carolyn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2020
Last updated Jun 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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