Individual
JACLYN SUMSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
16609 BLACKFOOT DR, LOCKPORT, IL 60441-1501
(708) 705-4881
Mailing address
16609 BLACKFOOT DR, LOCKPORT, IL 60441-1501
(708) 705-4881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
06/25/2019
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