Individual
MR. ANTHONY WALTER MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN, CDE
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 679-2130
(708) 679-2260
Mailing address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 679-2130
(708) 679-2260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003417
IL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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