Individual
MRS. SUSAN LYNNE COOPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 205, LINCOLNWOOD, IL 60712-1709
(847) 675-5555
Mailing address
2850 W TOUHY AVE, UNIT C, CHICAGO, IL 60645-2956
(773) 262-5848
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
IL
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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