Individual
BARBARA CASE BOULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CHC
Contact information
Practice address
229 PARK AVENUE, APT. 202, CLARENDON HILLS, IL 60514
(312) 607-6689
Mailing address
229 PARK AVENUE, APT. 202, CLARENDON HILLS, IL 60514
(312) 607-6689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006948
IL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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