Individual
HAILEE GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3146
(773) 962-3900
Mailing address
21004 S STATES LN, SHOREWOOD, IL 60404-8188
(815) 341-0874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007702
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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