Individual
OLIVIA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1700 W VAN BUREN ST, SUITE 425, CHICAGO, IL 60612-5500
(312) 942-8233
Mailing address
1700 W VAN BUREN ST, SUITE 425, CHICAGO, IL 60612-5500
(312) 942-8233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006558
IL
Other
Enumeration date
12/28/2015
Last updated
04/12/2017
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