Individual
MRS. DIANE L EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
20303 CRAWFORD AVE, SUITE 220, OLYMPIA FIELDS, IL 60461-1073
(708) 748-4487
(708) 748-5328
Mailing address
20303 CRAWFORD AVE, SUITE 220, OLYMPIA FIELDS, IL 60461-1073
(708) 748-4487
(708) 748-5328
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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