Individual
GINA MARIE OSIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 W FULTON ST STE 301, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
2003 W FULTON ST FL 3, CHICAGO, IL 60612-2345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007436
IL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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