Individual
MR. ALEXANDER MATTHEW WINNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS RD
Contact information
Practice address
900 W GUNNISON ST APT 203, CHICAGO, IL 60640-7864
(335) 709-5855
Mailing address
900 W GUNNISON ST APT 203, CHICAGO, IL 60640-7864
(336) 709-5855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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