Grogan, Bernadette Mary
Grogan, Bernadette Mary is an sole proprietor health care provider with primary practice located at 2800 W 95Th St , Evergreen Park IL 60805-2701. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Grogan, Bernadette Mary can be contacted via phone (708) 422-6200.Contact Information
Primary practice address
2800 W 95Th St
Evergreen Park IL 60805-2701
Phone: (708) 422-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Illinois |
Profile Details
| NPI number | 1891917019 |
|---|---|
| LBN Legal business name | Grogan, Bernadette Mary |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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