Individual
MRS. ABIGAIL SULLIVAN FEWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1317 N WICKER PARK AVE APT 1R, CHICAGO, IL 60622-3164
(234) 788-6977
Mailing address
111 N WABASH AVE # 3102, CHICAGO, IL 60602-1903
(234) 788-6977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006104
IL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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