Individual
SUZANNA M RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N
Contact information
Practice address
1209 N STATE PKWY, #12, CHICAGO, IL 60610-2234
(309) 532-0810
Mailing address
1209 N STATE PKWY, #12, CHICAGO, IL 60610-2234
(309) 532-0810
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004750
IL
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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