Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104131648 Individual Practitioner Female Practitioner

Jacqueline Wagner , MS, CCC-SLP, L

Speech-Language Pathologist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Jacqueline Wagner, MS, CCC-SLP, L is a registered healthcare professional specializing in Speech-Language Pathologist in Chicago, IL. Practice services are available at 1640 N WELLS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1640 N Wells St
Suite 103

Chicago, IL 606146087

Telephone 3126424300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
1770 Specialists

Practicing in Chicago, IL (10321 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146009849

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Grace Leonard

Social Worker

NPI 1003705203
Melissa Melnick , OTR, L

Occupational Therapist

NPI 1013435056

Occupational Therapist Registered, L

Emily Smith , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013444199

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Jennifer Reiter , MS CCC-SLP, L

Speech-Language Pathologist

NPI 1053626341

MSCCCSLP, L

NPI 1164788865

Master of Occupational Therapy, Occupational Therapist Registered, L

Katherine Reynolds , CCC-SLP

Speech-Language Pathologist

NPI 1255611604

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2010

Registered at 1640 N WELLS ST, SUITE 103, CHICAGO, IL 606146087 (Tel: 3126424300)

📍
Updated Business Mailing Address August 09, 2010

Registered at 1640 N WELLS ST, SUITE 103, CHICAGO, IL 606146087 (Tel: 3126424300)

👤
Provider Name / Credentials Updated August 09, 2010

Recorded as JACQUELINE WAGNER, M.S., CCC-SLP/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2010

Speech-Language Pathologist (License #146009849 in IL)

🟢
Initial NPI Registration & Enumeration August 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104131648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2010
Last Update: August 09, 2010
Sole Proprietor: Yes

Mailing Address

1640 N Wells St, Suite 103

Chicago, IL 606146087

Phone: 3126424300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.