Individual
KRISTA NICOLE JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
1706 W 17TH ST # 2C, CHICAGO, IL 60608-1910
(303) 809-7472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004925
IL
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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