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NPI Code Detail

MEDICARE: ABIGAIL WIGGINS

MEDICARE: ABIGAIL WIGGINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician1659935559IL

General Provider Information

NPI Number : 1659935559
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL WIGGINS
Provider Business Mailing Address
First Line : 1405 S 7TH ST
Second Line :
City : ST CHARLES
State : IL
Zip : 60174-3808
Country : US
Telephone Number : 815-223-2337
Fax Number : 815-327-3440
Provider Business Practice Location Address
First Line : 1250 EXECUTIVE PL STE 201
Second Line :
City : GENEVA
State : IL
Zip : 60134-3805
Country : US
Telephone Number : 847-306-9843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2019
Last Update Date : 03/13/2026

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Directions to “ ABIGAIL WIGGINS ” Practice Location

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