Individual
KATIE ELLEN SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-4751
Mailing address
710 N FAIRBANKS CT, CHICAGO, IL 60611-3013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006564
IL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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