Individual
AMY BALTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
407 S EMERSON ST, MOUNT PROSPECT, IL 60056-3833
(847) 421-2579
Mailing address
407 S EMERSON ST, MOUNT PROSPECT, IL 60056-3833
(847) 421-2579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002457
IL
Other
Enumeration date
09/13/2011
Last updated
01/06/2021
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