Individual
HANNAH ROOSEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-0593
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-0593
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005755
IL
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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