Individual
KIMBERLY A MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
315 SKYVUE LN, SCHAUMBURG, IL 60194-3821
(847) 885-0994
Mailing address
315 SKYVUE LN, SCHAUMBURG, IL 60194-3821
(847) 885-0994
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004050
IL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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