NPI 1063533602
Ilene Terri Wynn, RDLDN
Practice location
- Address
- 1560 Sherman Ave Suite #400, Evanston, IL 60201-4818
- Phone
- (847) 869-1500
- Fax
- (847) 869-1515
- Mailing address
- 2246 Avalon Dr, Buffalo Grove, IL 60089-4682
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1063533602
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.