Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Wagner, MS, CCC-SLP/L

Individual provider Speech-Language Pathologist · NPI 1104131648

Jacqueline Wagner, MS, CCC-SLP/L is a Speech-Language Pathologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1640 N Wells St Ste 103
Chicago, IL 60614-6087
Phone: (312) 642-4300
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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 146009849 (IL)

Record details

NPI number1104131648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP/L
Sole proprietorYes
NPI enumeratedAugust 9, 2010
Last updated in NPPESAugust 9, 2010

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