Individual
JESSICA RAE KOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
500 W COURT ST, KANKAKEE, IL 60901-3661
(815) 937-2454
(815) 928-6213
Mailing address
500 W COURT ST, KANKAKEE, IL 60901-3661
(815) 937-2454
(815) 928-6213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006544
IL
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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