Individual
ANITA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3829 N CUMBERLAND AVE, CHICAGO, IL 60634-1912
(773) 216-5220
Mailing address
3829 N CUMBERLAND AVE, CHICAGO, IL 60634-1912
(773) 216-5220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008900
IL
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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