Individual
MR. SLOAN MICHAEL OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
2063 LIMESTONE LN, CARPENTERSVILLE, IL 60110-1239
(708) 606-6969
Mailing address
2063 LIMESTONE LN, CARPENTERSVILLE, IL 60110-1239
(708) 606-6969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006957
IL
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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