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Individual

ADRIANA BUENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NDTR

Contact information

Practice address
225 E CHICAGO AVE # 59, CHICAGO, IL 60611-2991
(312) 227-1210
Mailing address
4220 S CHAMPLAIN AVE APT 2N, CHICAGO, IL 60653-2951
(815) 545-7317

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86052267
IL

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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