Individual
MRS. MARY RATCLIFFE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2396
(847) 570-2905
Mailing address
1046 MIDWAY RD, NORTHBROOK, IL 60062-3936
(847) 570-2396
(847) 570-2905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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