Individual
SOLEIL WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Mailing address
920 NEUFAIRFIELD DR, JOLIET, IL 60432-0767
(708) 701-0979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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