Individual
ELIZABETH AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 N WOLCOTT AVE, CHICAGO, IL 60622-1349
(312) 868-0108
Mailing address
1740 N WOLCOTT AVE, CHICAGO, IL 60622-1349
(312) 868-0108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005789
IL
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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