AMANDA R SEVERSON

JOLIET, IL
NPI1952024952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164-009042)
Enumeration Date2022-09-23
Last Update Date2023-07-13
Business Address
AMANDA R SEVERSON RD
2614 W JEFFERSON ST
JOLIET, IL 60435-6433
Phone number: 815-725-1355
Mailing Address
AMANDA R SEVERSON RD
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200