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1063533602
ILENE TERRI WYNN
EVANSTON, IL
NPI
1063533602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.001594)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Mrs. ILENE TERRI WYNN R.D., L.D.N.
1560 SHERMAN AVE SUITE #400
EVANSTON, IL 60201-4818
Phone number: 847-869-1500
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Mailing Address
Mrs. ILENE TERRI WYNN R.D., L.D.N.
2246 AVALON DR
BUFFALO GROVE, IL 60089-4682
Phone number: 847-913-1652
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