Individual
MADELINE SQUIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LDN CLC
Contact information
Practice address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(414) 861-1875
Mailing address
1626 SKYRIDGE DR UNIT 1, CRYSTAL LAKE, IL 60014-1047
(414) 861-1875
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008001
IL
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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