Individual
ANNA GACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
2600 S MICHIGAN AVE, STE 408, CHICAGO, IL 60616-2857
(312) 567-8793
Mailing address
2600 S MICHIGAN AVE, STE 408, CHICAGO, IL 60616-2857
(312) 567-8793
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006186
IL
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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