Deboer, Colleen Marie

Deboer, Colleen Marie is an sole proprietor health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045-1659. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Deboer, Colleen Marie can be contacted via phone (847) 535-6807.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045-1659
Phone: (847) 535-6807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.005209 Illinois

Profile Details

NPI number 1275904112
LBN Legal business name Deboer, Colleen Marie
Credentials RD, LDN, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2015
Last updated Oct 19th, 2015 - about 11 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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