Marjorie Wynveen

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

200 N Berteau Ave
Elmhurst, IL 60126-2966

Phone

(630) 993-5108

Fax

(630) 993-5484

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1285821801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BERTEAU AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BERTEAU AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262966",
            "telephone_number": "630-993-5108",
            "fax_number": "630-993-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNVEEN",
        "first_name": "MARJORIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinique Wood, AU.D.
• Susan E Wooden, PHARM.D.
• Stacy Worth, BCBA
• Kevin Randall Wright, PA-C
• Beth Wrobel, LCPC, NCC
• Stanley Xavier, DPT
• Gaurav Yadava, M.D.
• Rita Yadava, MD
• Ved P Yadava, MD
• Sudha K Yalamanchi, M.D.

• Registered Dietitian in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.