Individual
SCOTT MICHAEL NYGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LND
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-5330
(224) 610-3847
Mailing address
2043 IRONWOOD CT, GURNEE, IL 60031-1795
(847) 263-0617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000288
IL
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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