Individual
MRS. KRISTIN A. R. GUSTASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612-3218
(312) 942-3438
(312) 942-5203
Mailing address
1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612-3218
(312) 942-3438
(312) 942-5203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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