Individual
MRS. MARY DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8431 S SEELEY AVE, CHICAGO, IL 60620-6035
(773) 236-1336
Mailing address
8431 S SEELEY AVE, CHICAGO, IL 60620-6035
(773) 236-1336
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164002685
IL
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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