Individual
MRS. JACQUELINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3801 W LAKE AVE STE 200C, GLENVIEW, IL 60026-5806
(847) 729-3438
(847) 577-3539
Mailing address
3801 W LAKE AVE STE 200C, GLENVIEW, IL 60026-5806
(847) 729-3438
(847) 577-3539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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