Individual
MRS. JO ELLEN SHIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20428 N WEATHERSTONE RD, KILDEER, IL 60047-8537
(312) 305-6503
Mailing address
20428 N WEATHERSTONE RD, KILDEER, IL 60047-8537
(312) 305-6503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000186
IL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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