Individual
MAYA BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN
Contact information
Practice address
10 E ONTARIO ST APT 4506, CHICAGO, IL 60611-4784
(916) 667-2020
Mailing address
10 E ONTARIO ST APT 4506, CHICAGO, IL 60611-4784
(916) 667-2020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006219
IL
Other
Enumeration date
07/25/2014
Last updated
11/04/2019
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