Individual
MISS KRISTA BETHANY STRUKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
443 N WALNUT ST, ELMHURST, IL 60126-2258
(309) 256-4509
Mailing address
443 N WALNUT ST, ELMHURST, IL 60126-2258
(309) 256-4509
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86045899
IL
Other
Enumeration date
09/26/2017
Last updated
09/29/2021
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