Individual
ELIZABETH J WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDN,CDE
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3213
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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