Individual
COLLEEN MARIE KESTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RDN, LDN
Contact information
Practice address
2081 CALISTOGA DR STE 2N, NEW LENOX, IL 60451-4833
(815) 320-2410
(815) 425-7123
Mailing address
14850 W DELANEY RD, MANHATTAN, IL 60442-9660
(708) 609-7227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007711
IL
Other
Enumeration date
04/14/2022
Last updated
07/17/2023
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