Individual
KAITLIN CHAKOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
306 S CATHERINE AVE, LA GRANGE, IL 60525-6302
(630) 408-1157
Mailing address
306 S CATHERINE AVE, LA GRANGE, IL 60525-6302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008731
IL
Other
Enumeration date
05/28/2022
Last updated
05/30/2022
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