Individual
MS. BONNIE J. KIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3001A 6TH ST., NAVAL HEALTH CLINIC, GREAT LAKES, IL 60088-3210
(847) 688-4723
(847) 688-2066
Mailing address
2945 APPLEGATE CT., GLENVIEW, IL 60025-2601
(847) 688-4723
(847) 688-2066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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