Individual
SAMANTHA MARY MAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 986-2800
Mailing address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 986-2800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005682
LICENSE #
IL
Enumeration date
09/27/2012
Last updated
05/19/2022
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