MS. SARA ELLEN WAGGLE NPI 1164513743

NPI Information

  • NPI: 1164513743
  • Provider Name: MS. SARA ELLEN WAGGLE
  • Classification: Specialist/Technologist - 2255R0406X
  • Specialization: Rehabilitation, Blind
  • Entity Type: Individual
  • Address: 5TH AVE AND ROOSEVELT ROAD
    HINES VA HOSPITAL
    HINES, IL
    ZIP 60141
  • Phone: (708) 202-7965

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NPI Details

MS. Sara Ellen Waggle is a rehabilitation and blind specialist technologist in Hines, IL. MS. Sara Ellen Waggle NPI is 1164513743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5TH AVE AND ROOSEVELT ROAD
HINES VA HOSPITAL
HINES, IL
ZIP 60141-000
Phone: (708) 202-7965
Fax: (708) 202-7949

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255R0406XSpecialist/TechnologistRehabilitation, BlindYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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