Individual
MS. LESLIE MICHELE GIAMBALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-3077
(708) 783-0654
Mailing address
5025 N OKETO AVE, HARWOOD HEIGHTS, IL 60706-3530
(773) 206-5094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003848
IL
Other
Enumeration date
11/08/2018
Last updated
11/15/2018
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