Individual
KATRINA LOUISE HERREJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
9977 WOODS DR, 1ST FLOOR, SKOKIE, IL 60077-1057
(847) 663-8540
(847) 663-1015
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
164-004790
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164-004790
IL STATE LIC
IL
Enumeration date
11/20/2007
Last updated
05/22/2008
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