Individual
RAQUEL LYNN KAIRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
721 E JACKSON ST, JOLIET, IL 60432-2560
(815) 726-8619
Mailing address
23843 W MCCLINTOCK RD, CHANNAHON, IL 60410-3058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005973
IL
Other
Enumeration date
08/06/2013
Last updated
07/01/2015
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