Individual
CHRISTINE MARIE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
375 MEDICAL GROUP, 310 WEST LOSEY STREET, SCOTT AFB, IL 62225-5002
(618) 256-7138
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-8160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004179
IL
Other
Enumeration date
06/22/2006
Last updated
09/24/2024
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