Provider Demographics
NPI:1275556003
Name:KILFOIL, MAUREEN ANN (RD, LDN)
Entity Type:Individual
Prefix:MISS
First Name:MAUREEN
Middle Name:ANN
Last Name:KILFOIL
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 NORTH PINE GROVE, #313
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613
Mailing Address - Country:US
Mailing Address - Phone:773-320-8495
Mailing Address - Fax:
Practice Address - Street 1:5841 SOUTH MARYLAND AVENUE MC 0988
Practice Address - Street 2:UNIVERSITY OF CHICAGO HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637
Practice Address - Country:US
Practice Address - Phone:773-702-7932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered