Individual
COURTNEY ELIZABETH DEPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
8219 N ODELL AVE, NILES, IL 60714-2509
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008318
IL
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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