Individual
KRISTA HAGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8381
Mailing address
2850 BRISTOL DR, APT 302, LISLE, IL 60532-4218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
09/16/2014
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