Individual
MRS. MARY CATHERINE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.R., R.D., L.D.N
Contact information
Practice address
1700 W VAN BUREN STREET SUITE 425 TOB, CHICAGO, IL 60612
(312) 942-5926
(312) 942-5203
Mailing address
1700 W VAN BUREN STREET SUITE 425 TOB, CHICAGO, IL 60612
(312) 942-5926
(312) 942-5203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164001908
IL
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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