Individual
GWENDOLYN J FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W.COURT STREET, ST. MARY'S HOSPITAL, KANKAKEE, IL 60901
(815) 937-2454
Mailing address
15247 KENMARE CIR, MANHATTAN, IL 60442-1441
(630) 618-9104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004673
IL
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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