Mack, Kimberly A

Mack, Kimberly A is an sole proprietor health care provider with primary practice located at 315 Skyvue Ln , Schaumburg IL 60194-3821. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mack, Kimberly A can be contacted via phone (847) 885-0994.

Contact Information

Primary practice address
315 Skyvue Ln Schaumburg IL 60194-3821
Phone: (847) 885-0994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.004050 Illinois

Profile Details

NPI number 1558627042
LBN Legal business name Mack, Kimberly A
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 13 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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