Individual
LISA ANN ENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2010 S ARLINGTON HEIGHTS RD, SUITE 310, ARLINGTON HEIGHTS, IL 60005-4134
(847) 228-3200
Mailing address
954 W GRACE ST APT G101, CHICAGO, IL 60613-3965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
12/11/2007
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