Individual
FAOQIYA FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1010 JORIE BLVD STE 244, OAK BROOK, IL 60523-3001
(847) 868-3435
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007316
IL
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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