Taylor Wolfram, LLC
Organization Active NPI Registered Dietitian · La Grange, IL
NPI 1124619630 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1124619630
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- TAYLOR WOLFRAM, LLC
- Practice address
- 421 7TH Ave
La Grange, IL 60525-6409 - Phone
- (312) 646-0886
- NPI assigned
- Jan 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Taylor Wolfram, RD
- Title
- Owner
- Phone
- (815) 980-7949
National Provider Directory
Locations
121 W Hillgrove Ave
Unit 278
La Grange, IL 60525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
421 7TH Ave
La Grange, IL 60525-6409
Mailing address
121 W Hillgrove Ave Unit 278
La Grange, IL 60525-1011
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All providers in La Grange, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.