Individual
BENJAMIN MICHAEL RASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDN
Contact information
Practice address
7047 NORTH AVE, OAK PARK, IL 60302-1015
(773) 303-7505
Mailing address
7047 NORTH AVE, OAK PARK, IL 60302-1015
(773) 303-7505
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164.007889
IL
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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