| Doctor Name: | SUZANNE MICHELL MCKAY |
| NPI Number: | 1043561962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | 164005376 |
| Business Practice Address: | 733 Spruce Rd Frankfort, IL - 604231039 |
| Business Phone Number: | 8154649734 |
| Business Fax Number: | 8154649735 |
| Mailing Address: | 733 Spruce Rd, FRANKFORT |
| State: | IL |
| Postal Code: | 604231039 |
| Phone Number: | 8154649734 |
| Fax Number: | 8154649735 |
| NPI Enumeration Date: | 10/02/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 164005376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |