Individual
JULIA NICOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1943 S MAY ST, 1F, CHICAGO, IL 60608-3359
(312) 579-8866
Mailing address
2623 W CHICAGO AVE, APT 2, CHICAGO, IL 60622-8180
(574) 993-7992
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005374
IL
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164005374
—
IL
Enumeration date
05/11/2017
Last updated
09/15/2020
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