Doctor Name: | EARNESTEEN R. SHEALEY |
NPI Number: | 1841200276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DT04014 |
Business Practice Address: | 3001 Green Bay Rd North Chicago, IL - 600643048 |
Business Phone Number: | 8476881900 |
Business Fax Number: | |
Mailing Address: | 6073 Club House Ct, GURNEE |
State: | IL |
Postal Code: | 600314723 |
Phone Number: | 8473675132 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT04014 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |