Whalio Doctors

NPI 1063533602

Ilene Terri Wynn, RDLDN

Practitioner Registered Dietitian Evanston, IL

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
Dietary & Nutritional Service Providers Taxonomy 133V00000X

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.