Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke A Wagner, ST

Individual provider Speech-Language Pathologist · NPI 1386885101

Brooke A Wagner, ST is a Speech-Language Pathologist in Morton, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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Practice location Address checks out

1909 N Morton Ave
Morton, IL 61550-1426
Phone: (309) 266-5488
Fax: (309) 266-9144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146009517 (IL)

Record details

NPI number1386885101
Entity typeIndividual (Type 1)
GenderFemale
Credentials ST
Sole proprietorNo
NPI enumeratedMarch 9, 2009
Last updated in NPPESFebruary 19, 2010
Mailing address1909 N Morton Ave, Morton, IL 61550-1426

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