Most Relevant Information
Provider Data
| NPI Number: | 1003038886 |
| Provider Name: | JENNIE BETH ROTHNER RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 48-005684 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1308 WAUKEGAN RD
SUITE 103
GLENVIEW
IL
600253070
Practice Location Phone/Fax
| Phone: | 8474864140 |
| Fax: | 8478530594 |
Provider Mailing Location
9100 KEDVALE AVE
SKOKIE
IL
600761722
Provider Mailing Phone/Fax
| Phone: | 8476739701 |
| Fax: |