Samantha Mary Marek, R.D.
Dietitian, Registered in Westmont, IL. Individual provider (NPI-1).
NPI number1902157191
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1902157191
- Entity type
- Individual (NPI-1)
- Name
- Samantha Mary Marek
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2012
- Certification date
- Mar 29, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.005682 | IL | Yes |
Practice location
460 Quail Ridge DrWestmont, IL 60559-6145
Phone 630-986-2800
Mailing address
460 Quail Ridge DrWestmont, IL 60559-6145
Phone 630-986-2800
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Other Registered Dietitian providers in Westmont, IL
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