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Individual

CHRISTINA R TAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PROVENA ST. MARY HOSPITAL, 500 W. COURT ST., KANKAKEE, IL 60901-3697
(815) 937-2454
(815) 928-6213
Mailing address
543 W ANNDON ST, BRAIDWOOD, IL 60408-1474
(815) 458-6295

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IL

Other

Enumeration date
06/08/2006
Last updated
11/30/2007
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