Most Relevant Information
Provider Data
| NPI Number: | 1003393315 |
| Provider Name: | TRACI WESSEL LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 164004892 |
Most Important Dates
| Enumeration Date: | 07/19/2018 |
| Last Updated: | 07/19/2018 |
Provider Practice Location
111 LIONS DR STE 221
BARRINGTON
IL
600103175
Practice Location Phone/Fax
| Phone: | 8478683435 |
| Fax: |
Provider Mailing Location
175 E HAWTHORN PKWY STE 235
VERNON HILLS
IL
600611454
Provider Mailing Phone/Fax
| Phone: | 8477378768 |
| Fax: | 8478595885 |