NPI 1003030354

Marissa Lynn Varner, RDMS

Practitioner Registered Dietitian Chicago, IL

Practice location

Address: 7435 W Talcott Ave Health Management Office, Chicago, IL 60631-3707
Phone: (773) 594-7448
Fax: (773) 594-8454
Mailing address: 10637 S Claremont Ave, Chicago, IL 60643-3101

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.004656 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003030354
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.