Individual
TINA MARIE MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LDN, CCN
Contact information
Practice address
400 E LINCOLN HWY, NEW LENOX, IL 60451-1992
(779) 379-2755
(779) 213-3835
Mailing address
407 RESERVE CT, JOLIET, IL 60431-1621
(708) 846-5816
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004149
IL
Other
Enumeration date
02/23/2012
Last updated
05/15/2026
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