Individual
LYNNETTE MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-0883
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163WG0000X
General Practice Registered Nurse
Primary
041169504
IL
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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