Individual
JULIA SOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-4823
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-4823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004657
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164004657
STATE LICENSE
IL
Enumeration date
05/01/2009
Last updated
01/30/2013
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