Individual
BETHANY M DOERFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIET NUTRITIONIST
Contact information
Practice address
150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
(312) 926-9355
Mailing address
150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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