Individual
STEPHANIE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1689 N CURRAN RD, SUITE 202, MCHENRY, IL 60050-6541
(847) 868-3435
Mailing address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006896
IL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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