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Organization
MIDWEST DIETITIAN, INC.
Active
Organization
MIDWEST DIETITIAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA WALDSCHMIDT RD, LDN, CEDRD (OWNER/DIETITIAN)
(630) 487-7283
Entity
Organization
Contact information
Practice address
4300 COMMERCE CT STE 250, LISLE, IL 60532-3698
(630) 487-7283
(630) 305-8549
Mailing address
4300 COMMERCE CT STE 250, LISLE, IL 60532-3698
(630) 487-7283
(630) 305-8549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727118
IL
Other
Enumeration date
05/25/2016
Last updated
03/13/2017
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