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Individual

MRS. MICHELLE MARIE MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2090
(312) 328-7791
Mailing address
6329 N LEROY AVE, CHICAGO, IL 60646-4813
(312) 523-1457

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004679
IL

Other

Enumeration date
07/23/2012
Last updated
07/23/2012
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