NPI 1275904112

Colleen Marie Deboer, RDLDNCDE

Practitioner Registered Dietitian Lake Forest, IL

Practice location

Address: 660 N Westmoreland Rd, Lake Forest, IL 60045-1659
Phone: (847) 535-6807

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.005209 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1275904112
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

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.