Individual
COURTNEY RULYNN SOUTHWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 986-2800
(630) 986-2440
Mailing address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 986-2800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005319
IL
Other
Enumeration date
06/29/2017
Last updated
04/16/2021
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