Individual
LORI ANN WELSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
5841 S MARYLAND AVE, MC 4080, CHICAGO, IL 60637-1447
(773) 702-0019
(773) 834-4037
Mailing address
5841 S MARYLAND AVE, MC 4080, CHICAGO, IL 60637-1447
(773) 702-0019
(773) 834-4037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004199
IL
Other
Enumeration date
04/19/2007
Last updated
07/06/2016
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