Siobhan Mary Wallner, RD, LDN

NPI #1982789137 in Hines, Illinois

Provider Information

NPI Number: 1982789137
Entity Type: Individual
Name: Siobhan Mary Wallner, RD, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LDN
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5TH AVE AND ROOSEVELT RD
Address 2: MAIL ROUTE 120
City: Hines
State: Illinois
ZIP Code: 60141
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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