Individual
KELLY L DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
10847 W LAPORTE, MOKENA, IL 60448
(708) 608-9014
(708) 377-0060
Mailing address
6521 CHARLESTON ST, OAK FOREST, IL 60452-2626
(708) 612-0876
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004722
IL
Other
Enumeration date
09/09/2007
Last updated
03/10/2026
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