Individual
MRS. REBECCA ANNE ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-5655
Mailing address
1177 TALBOTS LN, ELK GROVE VILLAGE, IL 60007-7115
(630) 292-2226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004565
IL
Other
Enumeration date
06/25/2008
Last updated
03/08/2013
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