Individual
OLIVIA KATHRYN MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4139 CLAUSEN AVE, WESTERN SPRINGS, IL 60558-1230
(708) 606-6213
Mailing address
4139 CLAUSEN AVE, WESTERN SPRINGS, IL 60558-1230
(708) 606-6213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101650
IL
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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