Doctor Name: | MARCIA SCHULTZ |
NPI Number: | 1396021390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LDN |
License Number: | 164.005534 |
Business Practice Address: | 1289 Armour Rd Bourbonnais, IL - 609142105 |
Business Phone Number: | 8157391040 |
Business Fax Number: | |
Mailing Address: | 1289 Armour Rd, BOURBONNAIS |
State: | IL |
Postal Code: | 609142105 |
Phone Number: | 8157391040 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2011 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.005534 |
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 |