Individual
TRICIA G GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 723-7133
Mailing address
24017 S NAVAJO DR, CHANNAHON, IL 60410-3249
(815) 725-7133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-003953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00510176
RAIL ROAD MEDICARE
IL
Enumeration date
04/21/2006
Last updated
04/04/2016
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