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
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60018-4505
- Phone
- (847) 708-4929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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