ELAINE TANEVA FEDDERSEN

SKOKIE, IL
NPI1205022290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  041-269302)
Enumeration Date2007-09-24
Last Update Date2007-09-24
Business Address
-- ELAINE TANEVA FEDDERSEN CDE
9977 WOODS DR ENH SPECIALITIES SUITE
SKOKIE, IL 60077-1057
Phone number: 847-663-8540
Mailing Address
-- ELAINE TANEVA FEDDERSEN CDE
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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