Organization
ROCHE DIETITIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ROCHE-DUDEK MS RD LD FADA CDE (MANAGING PARTNER)
(708) 442-0123
Entity
Organization
Contact information
Practice address
51 E BURLINGTON ST, RIVERSIDE, IL 60546-2124
(708) 442-0123
(708) 442-0930
Mailing address
51 E BURLINGTON ST, RIVERSIDE, IL 60546-2124
(708) 442-0123
(708) 442-0930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000278
IL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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