Carson, Amy

Carson, Amy is an individual health care provider with primary practice located at 1114 Lake St , Oak Park IL 60301-1002. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carson, Amy can be contacted via phone (708) 383-1114.

Contact Information

Primary practice address
1114 Lake St Oak Park IL 60301-1002
Phone: (708) 383-1114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164006342 Illinois

Profile Details

NPI number 1033597323
LBN Legal business name Carson, Amy
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2015
Last updated Sep 29th, 2020 - about 6 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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