Individual
KELLY KRUSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1201 N LA SALLE DR APT 3212, CHICAGO, IL 60610-3056
(314) 750-6474
Mailing address
1201 N LA SALLE DR APT 3212, CHICAGO, IL 60610-3056
(314) 750-6474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007293
IL
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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