MRS. Ilene Terri Wynn, R.D., L.D.N.

NPI #1063533602 in Evanston, Illinois

Provider Information

NPI Number
1063533602
Entity Type
Individual
Name
MRS. Ilene Terri Wynn, R.D., L.D.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
R.D., L.D.N.
Enumeration Date
Apr 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1560 SHERMAN AVE
Address 2
SUITE #400
ZIP Code
60201-4818
Phone
(847) 869-1500

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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