Patricia M Knisley, RD, LD

NPI #1508865452 in Hines, Illinois

Provider Information

NPI Number
1508865452
Entity Type
Individual
Name
Patricia M Knisley, RD, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Jul 21, 2005
Last Updated
Aug 6, 2014

Practice Location

Address
5000 S 5TH AVE
Address 2
FOOD AND NUTRITION SERVICES (120D)
City
Hines
ZIP Code
60141-3030
Phone
(708) 202-8387

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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