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1740200732
ELIZABETH A. WALL
CHICAGO, IL
NPI
1740200732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164-000996)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Ms. ELIZABETH A. WALL R.D.
5847 S. MARYLAND AVE MC 4080
CHICAGO, IL 60637
Phone number: 773-834-2876
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Mailing Address
Ms. ELIZABETH A. WALL R.D.
911 SHERIDAN RD
EVANSTON, IL 60202-5432
Phone number: 773-834-2876
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