Individual
JENNIFER MARIE SPILOTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
5061 N PULASKI RD, CHICAGO, IL 60630-2706
(773) 539-8181
(773) 539-0039
Mailing address
2610 N ORCHARD ST, #B, CHICAGO, IL 60614-7156
(847) 373-7891
(773) 539-0039
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
164004632
IL
133V00000X
Registered Dietitian
Primary
164004632
IL
261QR1100X
Research Clinic/Center
164004632
IL
283Q00000X
Psychiatric Hospital
164004632
IL
310400000X
Assisted Living Facility
164004632
IL
313M00000X
Nursing Facility/Intermediate Care Facility
164004632
IL
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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