Individual
MS. MARLA COHN SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N, CDE
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-1795
(312) 996-8218
Mailing address
571 ORCHARD LANE, WINNETKA, IL 60093-4145
(847) 501-5170
(847) 784-8392
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
164-000305
IL
133V00000X
Registered Dietitian
Primary
164000305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164-000305
IL STATE LIC
IL
Enumeration date
01/03/2007
Last updated
05/04/2012
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