Linda W Clarke RN BSN M.ED NCSN

NPI 1164745113 - Nutritionist - 133NN1002X

NPI Details
NPI 1164745113
Gender Female
Enumeration Date 03/04/2010
Last Updated 03/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
7406 S OGLESBY AVE
CHICAGO IL, 60649-3312, US
Phone (773) 768-1117
Fax (773) 933-6994
Business Location
7406 S OGLESBY AVE
CHICAGO IL, 60649-3312, US
Phone (773) 768-1117
Fax (773) 933-6994
Toxanomy
Taxonomy Code 133NN1002X
License State Illinois
License Number 041.195463
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According to our database, Mrs. Linda W Clarke RN BSN M.ED NCSN NPI is 1164745113, taxonomy code is 133NN1002X and license number is 041.195463, license state is located at Illinois. Linda W Clarke RN BSN M.ED NCSN physically located at 7406 S Oglesby Ave, Chicago IL, 60649-3312. NPI Number Linda W Clarke RN BSN M.ED NCSN has the Individual type.

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1164745113 NPI number is provided on an as is basis without warranty of any kind. 1164745113 is maintained by the National Plan & Provider Enumeration System. The contents of Linda W Clarke RN BSN M.ED NCSN are for informational purposes only.