Individual
MS. ELIZABETH A. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5847 S. MARYLAND AVE, MC 4080, CHICAGO, IL 60637
(773) 834-2876
(773) 702-6972
Mailing address
911 SHERIDAN RD, EVANSTON, IL 60202-5432
(773) 834-2876
(773) 702-6972
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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