Individual
MAUREEN PRYATEL HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 LAKESIDE DR, BANNOCKBURN, IL 60015-1219
(845) 246-3029
Mailing address
12 LATHAM CIR, CHARLESTON, SC 29407-3439
(440) 539-8716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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