Individual
LYNNSEY NICOLE BOGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
5838 N SHERIDAN RD, CHICAGO, IL 60660-4916
(773) 769-2230
Mailing address
515 W WRIGHTWOOD AVE APT 507, CHICAGO, IL 60614-1707
(815) 274-8731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007734
IL
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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