Individual
MS. GINGER L HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
26W420 PARKWAY DR, WINFIELD, IL 60190-2107
(630) 263-9533
(630) 206-0310
Mailing address
PO BOX 4798, WHEATON, IL 60189-4798
(630) 263-9533
(630) 206-0310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164002840
IL
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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