Individual
COURTNEY SUSTERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CNSC
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1255 N SANDBURG TER UNIT 811, CHICAGO, IL 60610-8267
(231) 286-8701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007457
IL
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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