Individual
EILEEN CONNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD, CPT
Contact information
Practice address
14711 S RAVINIA AVE, ORLAND PARK, IL 60462-3100
(708) 226-0555
(708) 226-0555
Mailing address
17612 MULBERRY AVE, TINLEY PARK, IL 60487-7694
(773) 771-4655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1033430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033430
COMMISSION ON DIETETIC REGISTRATION
IL
Enumeration date
05/19/2017
Last updated
05/19/2017
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