Doctor Name: | KATHLEEN DUFFY |
NPI Number: | 1659771897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD., LDN |
License Number: | 164006269 |
Business Practice Address: | 520 S Maple Ave Oak Park, IL - 603041022 |
Business Phone Number: | 7086605900 |
Business Fax Number: | 7086602210 |
Mailing Address: | 520 S Maple Ave, OAK PARK |
State: | IL |
Postal Code: | 603041022 |
Phone Number: | 7086605900 |
Fax Number: | 7086602210 |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164006269 |
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 |