Individual
MS. TALIA ANN HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETICIAN
Contact information
Practice address
1775 DEMPSTER ST, ADVOCATE LUTHERAN GENERAL HOSPITAL, PARK RIDGE, IL 60068
(847) 723-2210
Mailing address
1601 ELM ST, STE 4360, DALLAS, TX 75201-4701
(847) 723-2210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005073
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005073
STATE OF IL DIETITIAN LICENSE
IL
Enumeration date
05/10/2010
Last updated
04/14/2020
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