Individual
TONETTE ELIZABETH HAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-5045
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-5045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1164005239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164005239
STATE LICENSE
IL
Enumeration date
02/10/2011
Last updated
02/10/2011
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