Individual
SARAH BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-4201
Mailing address
1357 W FULLERTON AVE APT 2R, CHICAGO, IL 60614-7360
(330) 603-5037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007861
IL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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