Carol J Jushkewich, MNT

NPI #1568567436 in Morris, Illinois

Provider Information

NPI Number: 1568567436
Entity Type: Individual
Name: Carol J Jushkewich, MNT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MNT
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 150 W HIGH ST
City: Morris
State: Illinois
ZIP Code: 60450-1463
Phone: (815) 942-2932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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