Individual
ELLEN HASHIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SUPERIOR ST STE 204, MELROSE PARK, IL 60160-4156
(708) 338-1780
Mailing address
5342 W GRACE ST, CHICAGO, IL 60641-3336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006816
IL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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