Doctor Name: | MALLORI TOMBLIN |
NPI Number: | 1568873024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 164006095 |
Business Practice Address: | 1350 E Chicago St Suite 17 Elgin, IL - 601204725 |
Business Phone Number: | 8478683435 |
Business Fax Number: | |
Mailing Address: | 175 E Hawthorn Pkwy, Suite 235 VERNON HILLS |
State: | IL |
Postal Code: | 600611463 |
Phone Number: | 8478683435 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2014 |
NPI Last Update Date: | 05/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164006095 |
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 |