Individual
TONYA HAGENBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.R.D.L.D.
Contact information
Practice address
2025 S. CHICAGO STREET, JOLIET, IL 60436
(815) 726-2200
Mailing address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 726-2200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806637
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164002717
STATE LICSENCE
IL
Enumeration date
10/07/2008
Last updated
10/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us