IndividualActive
Adam Ilgen, RD, LRD
NPI 1174212708 · Registered Dietitian · Osage Beach, MO
Provider details
- NPI number
- 1174212708
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LRD
- Sex
- Male
- Sole proprietor
- No
- License
- 2022020051 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 302-2747
Fax: (573) 302-2755
Approximate (ZIP-level) locationGet directions
Mailing address
1153 Links Rd Apt 24
Osage Beach, MO 65065-2369
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.