Individual
MRS. BOGUSLAWA L SUSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1900 E GOLF RD STE 950H, SCHAUMBURG, IL 60173-5834
(872) 395-6294
Mailing address
237 KIMBERLY RD, NORTH BARRINGTON, IL 60010-2149
(847) 239-0019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
02/17/2022
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