Individual
ALYSON HAEBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 REVERE DR STE 100, NORTHBROOK, IL 60062-1567
(800) 736-3739
Mailing address
4631 N PAULINA ST APT 303, CHICAGO, IL 60640-4546
(920) 539-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86084099
IL
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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