Individual
MRS. DANIELLE GENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-3077
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003918
IL
Other
Enumeration date
01/20/2009
Last updated
08/29/2012
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