Individual
LINDSAY K MIDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1212 N ASHLAND AVE # 1019, CHICAGO, IL 60622-2253
(773) 234-1431
Mailing address
1212 N ASHLAND AVE # 1019, CHICAGO, IL 60622-2253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164008460
STATE OF ILLINOIS- IDPR
IL
01
—
4198
MINNISOTA LICENSE
MN
Enumeration date
05/30/2019
Last updated
01/16/2025
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