Individual
CARLY GROETSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4064 LAWN AVE, WESTERN SPRINGS, IL 60558-1145
(708) 744-1200
Mailing address
4064 LAWN AVE, WESTERN SPRINGS, IL 60558-1145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
12/24/2007
Last updated
10/15/2025
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