Individual
DR. NETTA D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, NMD
Contact information
Practice address
1000 W LAKE ST, SUITE G, OAK PARK, IL 60301-1146
(708) 848-3393
(708) 848-3395
Mailing address
1000 W LAKE ST, SUITE G, OAK PARK, IL 60301-1146
(708) 848-3393
(708) 848-3395
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
036047857
IL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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