Individual
LISA MARIE OCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
4970 N MARINE DR APT 223, CHICAGO, IL 60640-3924
(708) 200-8077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/24/2025
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