MS. Pamela Fagen, REGISTERED DIETITIAN

NPI #1790192698 in Des Plaines, Illinois

Provider Information

NPI Number
1790192698
Entity Type
Individual
Name
MS. Pamela Fagen, REGISTERED DIETITIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
REGISTERED DIETITIAN
Enumeration Date
Jul 13, 2014
Last Updated
Jul 13, 2014

Practice Location

Address
2200 E DEVON AVE STE 309
ZIP Code
60018-4505
Phone
(847) 708-4929

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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