Individual
NICOLE CONTEDUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 BIRCH LN, WESTERN SPRINGS, IL 60558-2102
(708) 539-4586
Mailing address
1152 BIRCH LN, WESTERN SPRINGS, IL 60558-2102
(708) 539-4586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006540
IL
Other
Enumeration date
10/05/2017
Last updated
08/03/2022
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