Individual
KELLY FURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 N LINCOLN AVE, CHICAGO, IL 60613-2417
(312) 380-5344
Mailing address
3921 N LINCOLN AVE, CHICAGO, IL 60613-2417
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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