Individual
MRS. CHRISOULA STAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. , LDN
Contact information
Practice address
5841 S MARYLAND AVE, MC 0988, CHICAGO, IL 60637-1447
(773) 702-3867
Mailing address
1130 N GREENWOOD AVE, PARK RIDGE, IL 60068-2057
(847) 825-1680
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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