MRS. Diane L Egan, NUTRITIONIST

NPI #1588007629 in Olympia Fields, Illinois

Provider Information

NPI Number: 1588007629
Entity Type: Individual
Name: MRS. Diane L Egan, NUTRITIONIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: NUTRITIONIST
Enumeration Date: Apr 8, 2013
Last Updated: Apr 8, 2013

Practice Location

Address: 20303 CRAWFORD AVE
Address 2: SUITE 220
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1073
Phone: (708) 748-4487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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