ELLEN C HOMANN

MATTOON, IL
NPI1316242233
Former NameELLEN C SHIKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004542)
Enumeration Date2011-01-25
Last Update Date2011-01-25
Business Address
-- ELLEN C HOMANN M.S, R.D., L.D.N
501 LAKE LAND BLVD SUITE D
MATTOON, IL 61938-5283
Phone number: 217-258-3370
Mailing Address
-- ELLEN C HOMANN M.S, R.D., L.D.N
501 LAKE LAND BLVD SUITE D
MATTOON, IL 61938-5283
Phone number: 217-258-3370
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