Individual
MRS. DOROTHY B. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, RD, LDN
Contact information
Practice address
17800 KEDZIE AVE, FOOD & NUTRITION SERVICES, HAZEL CREST, IL 60429-2029
(708) 213-3053
(708) 213-0134
Mailing address
PO BOX 364, OLYMPIA FIELDS, IL 60461-0364
(708) 747-3016
(708) 668-7601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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