Individual provider · Type 1 NPI

Amanda Wagner, M.ED, RDN, LDN

Registered Dietitian · Chicago, IL

NPI number 1053006361 Active

Practice location

4631 N Lincoln Ave
Chicago, IL 60625-2007

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	None listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1053006361

Amanda Wagner, M.ED, RDN, LDN's National Provider Identifier is 1053006361, issued on Apr 11, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 9, 2026.