Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB DANIEL WENGERT, DC, FNP
ActiveNurse Practitioner · BREESE, IL
Registration Details
- NPI Number
- 1689097768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2014 (12.271472286381 yrs)
- Last Updated
- Oct 3, 2023
- Licenses
-
209023063 (IL)209023063 (IL)
Practice Information
- Address
-
9515 HOLY CROSS LN STE 175BREESE, IL, 622303618Browse IL providers · Browse ZIP 62230
- Phone
- 6185268430
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
Other Nurse Practitioner Providers in BREESE, IL
| Name | Credential | NPI |
|---|---|---|
| ANGELA DAWN HERNDON | APN | 1265548986 |
| MRS. JACQUELINE L. KUNZ | RNC, NNP | 1699958843 |
| MEGHAN M ZIEGLER | FNP-BC | 1326313032 |
| MELANIE L. BANAL | NP-C | 1770986010 |
| MELISSA SIEBERT | APN | 1912449968 |
| DENNIS JOSEPH RIECHMAN | FNP-BC | 1548824592 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.