Individual
ANITA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
819 S FULTON AVE, WAUKEGAN, IL 60085-7250
(630) 672-8710
Mailing address
819 S FULTON AVE, WAUKEGAN, IL 60085-7250
(630) 672-8710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
01/22/2026
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