Individual
JENNIFER KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., M.S.
Contact information
Practice address
15 N PROSPECT AVE, PARK RIDGE, IL 60068-3563
(847) 232-9800
Mailing address
15 N PROSPECT AVE, PARK RIDGE, IL 60068-3563
(847) 232-9800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005113
IL
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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