Most Relevant Information
Provider Data
| NPI Number: | 1003030354 |
| Provider Name: | MARISSA LYNN VARNER R.D, M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 164.004656 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
7435 W TALCOTT AVE
HEALTH MANAGEMENT OFFICE
CHICAGO
IL
606313707
Practice Location Phone/Fax
| Phone: | 7735947448 |
| Fax: | 7735948454 |
Provider Mailing Location
10637 S CLAREMONT AVE
CHICAGO
IL
606433101
Provider Mailing Phone/Fax
| Phone: | 7735947448 |
| Fax: | 7735948454 |