Stephanie L Wagner, RDN, LDN

NPI #1881125631 in Huntley, Illinois

Provider Information

NPI Number: 1881125631
Entity Type: Individual
Name: Stephanie L Wagner, RDN, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN, LDN
Enumeration Date: Mar 23, 2017
Last Updated: Feb 19, 2020

Practice Location

Address: 10400 HALIGUS RD
City: Huntley
State: Illinois
ZIP Code: 60142-9553
Phone: (224) 654-0389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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