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Individual

EFTHEMIA GRECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
9654 KELLEY LN, HUNTLEY, IL 60142-0058
(630) 750-0955
Mailing address
9654 KELLEY LN, HUNTLEY, IL 60142-0058
(630) 750-0955

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004966
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164004966
STATE LICENSURE
IL
Enumeration date
10/08/2020
Last updated
11/19/2020
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