Individual
MRS. SARA GILLIE MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
426 MADISON AVE, CALUMET CITY, IL 60409-2259
(708) 870-7233
Mailing address
426 MADISON AVE, CALUMET CITY, IL 60409-2259
(708) 870-7233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004821
IL
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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