Individual
JANE MOCKAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
251 E HURON ST, LC 521, CHICAGO, IL 60611-2908
(312) 926-7437
Mailing address
251 E HURON ST, LC 521, CHICAGO, IL 60611-2908
(312) 926-7437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164002828
IL
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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