Individual
MRS. AMY HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
1905 W COURT ST, KANKAKEE, IL 60901-3163
(815) 936-6515
(815) 936-6517
Mailing address
1905 W COURT ST, KANKAKEE, IL 60901-3163
(815) 936-6515
(815) 936-6517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000560
IL
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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