Individual
SHAYNA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7750 S WOLCOTT AVE, CHICAGO, IL 60620-5229
(773) 819-0760
Mailing address
333 W NORTH AVE # 197, CHICAGO, IL 60610-1293
(312) 870-0416
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
175F00000X
Naturopath
Primary
NP-0082
DC
Other
Enumeration date
03/19/2016
Last updated
09/07/2021
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