Individual
MR. JAMES PRUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1525 W HOMER ST, # 101, CHICAGO, IL 60642-1280
(773) 443-8680
(773) 292-1939
Mailing address
1525 W HOMER ST, # 101, CHICAGO, IL 60642-1280
(773) 443-8680
(773) 292-1939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003327
IL
Other
Enumeration date
08/13/2006
Last updated
09/22/2011
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