Doctor Name: | MRS. DOROTHY B. WILSON |
NPI Number: | 1376768655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHS, RD, LDN |
License Number: | |
Business Practice Address: | 17800 Kedzie Ave Food & Nutrition Services Hazel Crest, IL - 604292029 |
Business Phone Number: | 7082133053 |
Business Fax Number: | 7082130134 |
Mailing Address: | Po Box 364, OLYMPIA FIELDS |
State: | IL |
Postal Code: | 604610364 |
Phone Number: | 7087473016 |
Fax Number: | 7086687601 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |