Individual
MISS JANE GATHONI KABOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
305 W ENTERPRISE DR, APT 107, MT PROSPECT, IL 60056
(773) 978-7370
Mailing address
305 W ENTERPRISE DR, APT 112, MT PROSPECT, IL 60056-5880
(773) 978-7370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004360
IL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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