IndividualActive
Stephanie Wells
NPI 1871809103 · Pediatric Nutrition Registered Dietitian · Park Ridge, IL
Provider details
- NPI number
- 1871809103
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-7181
Fax: (847) 723-9441
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 1308 Waukegan RdSte 103Glenview, IL 60025-3070Phone: (630) 803-1947
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.