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Contact Information

TONYA HAGENBAUMER, M.S.R.D.L.D.
2025 S. CHICAGO STREET
JOLIET, IL60436
 Phone: 815-726-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TONYA HAGENBAUMER · (Female)

NPI Number 1033360136
Status Active
Credentials M.S.R.D.L.D.
Entity Individual
Enumeration date 10/07/2008
Last updated 10/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 806637
  • IL Other 164002717 STATE LICSENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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