Individual
LISA M. SHURBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETICIAN REGISTERED
Contact information
Practice address
701 W NORTH AVE, DIETARY DEPARTMENT, MELROSE PARK, IL 60160-1612
(708) 681-3200
Mailing address
701 W NORTH AVE, DIETARY DEPARTMENT, MELROSE PARK, IL 60160-1612
(708) 681-3200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
884400
IL
Other
Enumeration date
11/22/2005
Last updated
05/24/2011
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