Individual
DANIEL DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3504 N SOUTHPORT AVE # 2N, CHICAGO, IL 60657-6877
(309) 634-1909
Mailing address
3504 N SOUTHPORT AVE # 2N, CHICAGO, IL 60657-6877
(309) 634-1909
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86099408
IL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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