Individual
MRS. SHUEFEN C DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CSP, CNSD
Contact information
Practice address
675 WINTERGREEN CIR, NAPERVILLE, IL 60540-9202
(630) 361-3674
(630) 357-8412
Mailing address
675 WINTERGREEN CIR, NAPERVILLE, IL 60540-9202
(630) 361-3674
(630) 357-8412
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
164.001121
IL
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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