Individual
MRS. RENEE ANN CLERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2300 W WABANSIA AVE, UNIT 214, CHICAGO, IL 60647-5338
(317) 442-5134
Mailing address
2300 W WABANSIA AVE, UNIT 214, CHICAGO, IL 60647-5338
(317) 442-5134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005048
IL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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