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Individual

MRS. CONNIE LYNN MACHETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 474-0458
(815) 300-2706
Mailing address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-1078
(815) 300-2076

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000596
IL

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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