Individual
MS. AUDRIE L MUMPHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CFPM
Contact information
Practice address
2249 W 115TH ST, CHICAGO, IL 60643-4701
(773) 550-9788
Mailing address
2249 W 115TH ST, CHICAGO, IL 60643-4701
(773) 550-9788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008136
IL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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