Individual
MARY CAROL MACDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 695-3200
Mailing address
1060 DIVISION ST, GENEVA, IL 60134-3434
(630) 208-7867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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