Individual
MIA ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Mailing address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074.0134450
VT
133V00000X
Registered Dietitian
Primary
1872
NH
Other
Enumeration date
08/21/2023
Last updated
06/24/2024
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