Individual
CRYSTA SUGAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Mailing address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(872) 362-5188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164010749
IL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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