Doctor Name: | MRS. CALLI JO MCCLAIN |
NPI Number: | 1881764538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | |
Business Practice Address: | 1045 W Stephenson St Freeport, IL - 610324864 |
Business Phone Number: | 8155996253 |
Business Fax Number: | 8155996103 |
Mailing Address: | 6158 S Oakwood Ln, POLO |
State: | IL |
Postal Code: | 610649013 |
Phone Number: | 8159463111 |
Fax Number: | 8155996103 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
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 |