Individual
MICHELLE A POTEMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Mailing address
10035 S CLIFTON PARK AVE, EVERGREEN PARK, IL 60805-3408
(708) 422-6200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1640000557
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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