Organization
MADELINE MCDONOUGH NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MADELINE MCDONOUGH MS, RD, LDN (OWNER)
(440) 623-1233
Entity
Organization
Contact information
Practice address
450 W BRIAR PL APT 7A, CHICAGO, IL 60657-4822
(440) 623-1233
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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