Individual
TRACY BALDENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 LAKE ST APT 1610, OAK PARK, IL 60301-1527
(815) 228-5225
Mailing address
1000 LAKE ST APT 1610, OAK PARK, IL 60301-1527
(815) 228-5225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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