Individual
MRS. CATHY SUE TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5252
(618) 256-7138
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5252
(618) 256-7138
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000201
IL
Other
Enumeration date
08/16/2007
Last updated
07/26/2024
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