Individual
CARRIE ANN SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1675 DEMPSTER STREET, ADVOCATE LUTHERAN GENERAL HOSPITAL-FOOD AND NUTRITION, PARK RIDGE, IL 60068-1143
(847) 723-7181
(847) 723-2020
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1143
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001346
IL
Other
Enumeration date
11/13/2008
Last updated
08/09/2022
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