Individual
SHELBY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1809 SPRING CT, SPRING GROVE, IL 60081-8644
(815) 345-3935
Mailing address
1809 SPRING CT, SPRING GROVE, IL 60081-8644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.009362
IL
133V00000X
Registered Dietitian
5042-29
WI
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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