Individual
KIMBERLY MARIA O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
9816 MAYFIELD AVE, OAK LAWN, IL 60453-3670
(773) 401-6605
Mailing address
9816 MAYFIELD AVE, OAK LAWN, IL 60453-3670
(773) 401-6605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004979
IL
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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