Individual
SHAINA OHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
710 N FAIRBANKS CT, 7-121, CHICAGO, IL 60611-3013
(312) 926-4751
Mailing address
2859 N SOUTHPORT AVE, CHICAGO, IL 60657-4126
(419) 356-6410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006876
IL
Other
Enumeration date
04/19/2017
Last updated
04/20/2017
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