Individual
LORI WYLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
908 N ELM ST, STE 301, HINSDALE, IL 60521-3635
(630) 323-3540
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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