Individual
ELIZABETH MARIE DONISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, LD
Contact information
Practice address
1288 SALFORD CT., WHEATON, IL 60189
(812) 360-8348
Mailing address
1288 SALFORD CT., WHEATON, IL 60189
(812) 360-8348
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002085A
IN
Other
Enumeration date
09/15/2018
Last updated
02/27/2020
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