Individual
SUSANNAH MARIE BALDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD, LDN
Contact information
Practice address
18N163 HIDDEN HILLS TRL, WEST DUNDEE, IL 60118-9531
(630) 204-5773
Mailing address
18N163 HIDDEN HILLS TRL, WEST DUNDEE, IL 60118-9531
(630) 204-5773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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