Individual
NICOLETTE GABRIELLA FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN
Contact information
Practice address
150 E HURON ST FL 13, CHICAGO, IL 60611-2999
(312) 964-4701
Mailing address
150 E HURON ST FL 13, CHICAGO, IL 60611-2999
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007103
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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