Individual
MARTHA CLAUDIA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LDN CDCES
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-7971
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003966
IL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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