Wagner, Edye Lynn

Wagner, Edye Lynn is an individual health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045-1659. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagner, Edye Lynn can be contacted via phone (847) 234-5600.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045-1659
Phone: (847) 234-5600
Fax: (847) 535-7851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164000949 Illinois

Profile Details

NPI number 1346416740
LBN Legal business name Wagner, Edye Lynn
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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