Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Wagner Nutrition PLLC

Organization Registered Dietitian · NPI 1992550933

Amanda Wagner Nutrition PLLC is a Registered Dietitian in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4631 N Lincoln Ave
Chicago, IL 60625-2007
Phone: (312) 884-9706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1992550933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wagner — Owner And Registered Dietitian · (312) 884-9706
Other names Amanda Wagner Nutrition Llc; Amanda Wagner Nutrition Llc
NPI enumeratedApril 23, 2024
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address4631 N Lincoln Ave, Chicago, IL 60625-2007

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