Individual
LINDA CACCIATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 ASHBURY DR, HINSDALE, IL 60521-4991
(630) 207-7401
Mailing address
430 ASHBURY DR, HINSDALE, IL 60521-4991
(630) 207-7401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.001003
STATE LICENSE
IL
Enumeration date
02/05/2017
Last updated
02/05/2017
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