Individual
HEIDI A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
761 45TH STREET, SUITE 110, MUNSTER, IN 46321-2899
(219) 922-3020
(219) 922-3023
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-0353
(317) 528-4200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
926769
ADA REGISTRATION NUMBER
—
Enumeration date
05/30/2007
Last updated
11/05/2021
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