Individual
KAILEY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5829
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5829
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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