| Diane Marie Wagoner, RN | |
|
7230 W North Ave, Elmwood Park, IL 60707-4261 | |
| (708) 453-3000 | |
| Not Available |
| Full Name | Diane Marie Wagoner |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 7230 W North Ave, Elmwood Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376703611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041259607 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 28116407A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Marie Wagoner, RN 1151 W 14th Pl, Unit 306, Chicago, IL 60608-2845 Ph: (312) 226-0619 | Diane Marie Wagoner, RN 7230 W North Ave, Elmwood Park, IL 60707-4261 Ph: (708) 453-3000 |
Weronika Siwak, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2627 N 73rd Ave Apt 2e, Elmwood Park, IL 60707 Phone: 773-799-6927 | |
Antonette Mortera, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1907 N 76th Ave, Elmwood Park, IL 60707 Phone: 708-452-0767 | |
Dosha Grant, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2317 N Rutherford, Elmwood Park, IL 60707 Phone: 773-420-7855 | |
Jaymee Sygaco, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7734 W North Ave, Elmwood Park, IL 60707 Phone: 708-660-3900 |