Individual
MR. JUSTIN I WASHINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
500 E 51ST ST, PROVIDENT HOSPITAL, CHICAGO, IL 60615-2400
(312) 572-1231
(312) 572-1230
Mailing address
9540 S INDIANA AVE, CHICAGO, IL 60628-1410
(312) 572-1231
(312) 572-1230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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