Individual
CLAIRE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
150 E HURON ST FL 13, CHICAGO, IL 60611-2999
(312) 858-5411
Mailing address
1640 N LEAVITT ST APT 3, CHICAGO, IL 60647-5688
(773) 612-0867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164007898
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
86156698
COMMISSION ON DIETETIC REGISTRATION
IL
Enumeration date
01/30/2022
Last updated
01/30/2022
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