| Doctor Name: | MARY JO DESMOND |
| NPI Number: | 1417016643 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D, L.D.N |
| License Number: | 164.001211 |
| Business Practice Address: | 520 S Maple Ave Oak Park, IL - 603041022 |
| Business Phone Number: | 7086605900 |
| Business Fax Number: | |
| Mailing Address: | 826 N Euclid Ave, OAK PARK |
| State: | IL |
| Postal Code: | 603021521 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164.001211 |
| 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 |