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Organization

MARIENDA NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADELINE KALLGREN RDN, LDN (OWNER)
(608) 426-4851
Entity
Organization

Contact information

Practice address
1828 W ELLEN ST APT 2, CHICAGO, IL 60622-3373
(608) 426-4851
Mailing address
1828 W ELLEN ST APT 2, CHICAGO, IL 60622-3373
(608) 426-4851

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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