Madison Dale

NPI #1528772308 in Hines, Illinois

Provider Information

NPI Number
1528772308
Entity Type
Individual
Name
Madison Dale
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Jan 6, 2023
Last Updated
Jan 6, 2023

Practice Location

Address
5000 S 5TH AVE
City
Hines
ZIP Code
60141-3030
Phone
(708) 202-2343

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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