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

Tanya Wagner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1043091861

Tanya Wagner, FNP-C is a Family Nurse Practitioner in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

200 E 75th St Ste 200
Chicago, IL 60619-2280
Phone: (872) 231-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8950 S Cottage Grove Ave, Chicago, IL 60619-6932 — (872) 231-4100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028368 (IL)

Record details

NPI number1043091861
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 9, 2023
Last updated in NPPESJanuary 10, 2026
Certification dateJanuary 10, 2026

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