Individual
IVETA JANUSAUSKAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-3900
Mailing address
737 BLOSSOM CT, NAPERVILLE, IL 60540-1841
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007839
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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