Individual
KELLY SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
561 W DIVERSEY PKWY STE 219, CHICAGO, IL 60614-1682
(630) 706-1414
Mailing address
445 W ARLINGTON PL APT 4W, CHICAGO, IL 60614-2779
(630) 706-1414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005421
IL
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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