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Individual

CAROLYN SEHLBREDE BANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1531 E HYDE PARK BLVD, UNIVERSITY OF CHICAGO HOSPITALS LAKE PARK DIALYSIS UNIT, CHICAGO, IL 60615-3039
(773) 702-4548
(773) 702-3565
Mailing address
5110 S HYDE PARK BLVD, APT 3A, CHICAGO, IL 60615-4272
(773) 702-4548
(773) 702-3565

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IL

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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