Individual
AUBREY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
1135 S DELANO CT E APT 618, CHICAGO, IL 60605-3451
(317) 730-7625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008612
IL
Other
Enumeration date
03/09/2022
Last updated
03/29/2022
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