Individual
MRS. ELIZABETH DEAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
6912 N. LAKEWOOD AVE, APT 1E, CHICAGO, IL 60626-6062
(847) 477-6467
Mailing address
6912 N LAKEWOOD AVE APT 1E, CHICAGO, IL 60626-3779
(847) 477-6467
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005357
IL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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