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Organization
REAL DIETITIAN, LLC
Active
Organization
REAL DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDONIA ROSE SWARM (CEO)
(773) 332-5090
Entity
Organization
Contact information
Practice address
222 MERCHANDISE MART PLZ, SUITE 1212, CHICAGO, IL 60654-1103
(773) 332-5090
(877) 791-5969
Mailing address
6824 N MENDOTA AVE, CHICAGO, IL 60646-1313
(773) 332-5090
(877) 791-5969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/27/2014
Last updated
10/18/2015
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