MRS. Kathleen Marie Ambrose, RD

NPI #1780760025 in Hines, Illinois

Provider Information

NPI Number
1780760025
Entity Type
Individual
Name
MRS. Kathleen Marie Ambrose, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Oct 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5TH AVE AND ROOSEVELT RD
Address 2
MAIL ROUTE 120D HINES VA HOSPITAL
City
Hines
ZIP Code
60141
Phone
(708) 202-2343

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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