Individual
MRS. NICOLETTE BURZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
251 E HURON ST, GALTER PAVILION 18-250, CHICAGO, IL 60611-2908
(312) 695-4945
Mailing address
251 E HURON ST, GALTER PAVILION 18-250, CHICAGO, IL 60611-2908
(312) 695-4945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004191
IL
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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