Individual
LIVIA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N LASALLE ST, 608, CHICAGO, IL 60610
(312) 870-0150
Mailing address
1212 N LASALLE ST, 608, CHICAGO, IL 60610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006474
IL
Other
Enumeration date
05/07/2015
Last updated
08/23/2019
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