Individual
KAITLYN EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-4201
Mailing address
8730 176TH ST, TINLEY PARK, IL 60487-8443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007196
IL
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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