Organization
DUPAGEDIETITIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEEPA DESHMUKH RD (OWNER)
(630) 839-9296
Entity
Organization
Contact information
Practice address
3080 OGDEN AVE, 104, LISLE, IL 60532-1691
(630) 839-9296
(630) 364-1873
Mailing address
3080 OGDEN AVE, 104, LISLE, IL 60532-1691
(630) 839-9296
(630) 364-1873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164002387
IL
133V00000X
Registered Dietitian
Primary
164004325
IL
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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