Individual
ERIKA KIMBERLY SIESENNOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
561 W DIVERSEY PKWY, SUITE 219, CHICAGO, IL 60614-6068
(773) 241-1747
Mailing address
2600 W LOGAN BLVD, APT 2K, CHICAGO, IL 60647-1888
(773) 241-1747
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004792
IL
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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