Individual
ELLEN MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7120 S 86TH CT, JUSTICE, IL 60458-1152
(773) 447-6757
Mailing address
7120 S 86TH CT, JUSTICE, IL 60458-1152
(773) 447-6757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005670
IL
Other
Enumeration date
01/28/2013
Last updated
08/03/2016
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