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

Individual provider Registered Dietitian · NPI 1053006361

Amanda Wagner, MED, RDN, LDN is a Registered Dietitian in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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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 number1053006361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , RDN , LDN
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

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