Individual
MICHELLE NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDCES
Contact information
Practice address
1713 W JULIAN ST APT 3F, CHICAGO, IL 60622-7920
(847) 530-2853
Mailing address
1713 W JULIAN ST APT 3F, CHICAGO, IL 60622-7920
(847) 530-2853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007405
IL
Other
Enumeration date
02/15/2023
Last updated
06/20/2024
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