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LIDIA ANTOINETTE PANOZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
10 S CLINTON ST, CHICAGO, IL 60661-3400
(312) 902-2040
(312) 648-0155
Mailing address
619 W JACKSON BLVD, CHICAGO, IL 60661-5606
(312) 648-4666
(312) 648-0155

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007631
IL

Other

Enumeration date
01/24/2020
Last updated
01/24/2020
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