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Individual

MS. KATHY ANNE MATTINGLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
234 HIGHLAND RD, GRAYSLAKE, IL 60030-1227
(847) 650-8139
Mailing address
234 HIGHLAND RD, GRAYSLAKE, IL 60030-1227
(847) 650-8139

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IL

Other

Enumeration date
08/02/2006
Last updated
07/08/2007
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