Provider Demographics
NPI:1043743925
Name:REHN, KATHERIN (MS RDN LDN)
Entity Type:Individual
Prefix:
First Name:KATHERIN
Middle Name:
Last Name:REHN
Suffix:
Gender:F
Credentials:MS RDN LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 OAK LN
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-2149
Mailing Address - Country:US
Mailing Address - Phone:708-655-3422
Mailing Address - Fax:
Practice Address - Street 1:1051 OAK LN
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-2149
Practice Address - Country:US
Practice Address - Phone:708-655-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.007100133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered