Individual
RYAN T SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN.
Contact information
Practice address
800 N WESTMORELAND RD STE 102, LAKE FOREST, IL 60045-1687
(847) 535-7647
(847) 535-8109
Mailing address
1105 OAK GROVE LN, LAKE FOREST, IL 60045-1631
(847) 903-1394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005190
IL
Other
Enumeration date
10/05/2012
Last updated
05/21/2019
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