Individual
ELAINE TANEVA FEDDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
9977 WOODS DR, ENH SPECIALITIES SUITE, SKOKIE, IL 60077-1057
(847) 663-8540
(847) 663-1015
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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