Organization
ILLINOIS DIETITIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN HOURIHAN MCCARTHY MFN, RDN, LDN, CPT (REGISTERED DIETITIAN)
(708) 285-1347
Entity
Organization
Contact information
Practice address
715 LAKE ST STE 220, OAK PARK, IL 60301-1411
(708) 285-1347
(708) 356-6611
Mailing address
715 LAKE ST STE 220, OAK PARK, IL 60301-1411
(708) 285-1347
(708) 356-6611
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
07/03/2012
Last updated
10/21/2024
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