Individual
ELIZABETH ASHLEY HAMMORTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
2400 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 984-5255
Mailing address
2400 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(847) 984-5255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005473
STATE LICENSE
IL
Enumeration date
06/05/2012
Last updated
05/17/2016
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