Individual
CONSTANCE GRACE MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1 E ERIE ST STE 242, CHICAGO, IL 60611-2737
(312) 964-4674
Mailing address
1 E ERIE ST STE 242, CHICAGO, IL 60611-2737
(312) 964-4674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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