Individual
MS. ANGELA ILESILA DOUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
439 E 31ST ST, SUITE 215, CHICAGO, IL 60616-4000
(312) 949-1010
Mailing address
169 N GROVE AVE, OAK PARK, IL 60301-1329
(708) 426-9020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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