Wagner, Wilford Tyrel

Wagner, Wilford Tyrel is an individual health care provider with primary practice located at 7317 N Harlem Ave , Niles IL 60714-4252. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Wagner, Wilford Tyrel can be contacted via phone (847) 588-1895.

Contact Information

Primary practice address
7317 N Harlem Ave Niles IL 60714-4252
Phone: (847) 588-1895
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-0516 South Carolina
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3115 Illinois

Profile Details

NPI number 1689012684
LBN Legal business name Wagner, Wilford Tyrel
Credentials H.I.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Aug 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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