Individual
MS. LOUANN MARIE SOPATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Mailing address
17020 SYCAMORE LN, OAK FOREST, IL 60452-4510
(708) 560-7321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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