Organization
MARCIA KRISITIN SCHULTZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA K SCHULTZ MPH RD LDN (REGISTERED DIETITIAN)
(815) 739-1040
Entity
Organization
Contact information
Practice address
1289 ARMOUR RD, BOURBONNAIS, IL 60914-2105
(815) 739-1040
Mailing address
1289 ARMOUR RD, BOURBONNAIS, IL 60914-2105
(815) 739-1040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005534
IL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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