Individual
BONITA L MALINOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CSR LDN
Contact information
Practice address
500 W COURT ST, KANKAKEE, IL 60901-3661
(815) 937-3077
(815) 937-8743
Mailing address
455 W COURT ST STE 100, KANKAKEE, IL 60901-3692
(815) 937-3077
(815) 937-8743
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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