Individual
SUSAN PUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDNLDN
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
2003 W FULTON ST STE 300, CHICAGO, IL 60612-2345
(312) 850-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001132
IL
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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