Individual
DANIELLE DICRISTOFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(773) 407-6305
Mailing address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(773) 407-6305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007873
IL
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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