Individual
EARNESTEEN R. SHEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
6073 CLUB HOUSE CT, GURNEE, IL 60031-4723
(847) 367-5132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT04014
TX
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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