Individual
MRS. MALLORY CLARE STORRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, LD
Contact information
Practice address
10631 PALOS WEST DR, PALOS PARK, IL 60464-1598
(708) 341-8789
Mailing address
6112 W 123RD ST, PALOS HEIGHTS, IL 60463-1805
(708) 341-8789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005527
IL
Other
Enumeration date
07/13/2020
Last updated
08/22/2023
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