Individual
MISS SHANNON DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
175 E HAWTHORN PKWY STE 325, VERNON HILLS, IL 60061-1460
(815) 451-6355
Mailing address
71 WOODHILLS BAY RD, FOX LAKE, IL 60020-1564
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008233
IL
133V00000X
Registered Dietitian
—
IL
Other
Enumeration date
07/28/2022
Last updated
03/15/2024
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