Individual
MICHELLE ANGARITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6568
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6568
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.004971
STATE OF ILLINOIS
IL
Enumeration date
02/26/2020
Last updated
03/06/2020
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